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1417775925
SKYLARR JOHNSON
HATTIESBURG, MS
NPI
1417775925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS PC3790)
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
SKYLARR JOHNSON PCCSS
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
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Mailing Address
SKYLARR JOHNSON PCCSS
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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