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1417479346
SHATERIKA L JOHNSON
VIDALIA, LA
NPI
1417479346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-12
Last Update Date
2022-07-21
Business Address
SHATERIKA L JOHNSON
204 AIRPORT ROAD
VIDALIA, LA 71373
Phone number: 318-323-1300
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Mailing Address
SHATERIKA L JOHNSON
204 AIRPORT RD
VIDALIA, LA 71373-3449
Phone number: 318-323-1300
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