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1437600863
KENNARIUS JOHNSON
SHREVEPORT, LA
NPI
1437600863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
-- KENNARIUS JOHNSON MHS
9663 HERON SPRINGS DR
SHREVEPORT, LA 71106-1662
Phone number: 318-573-2676
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Mailing Address
-- KENNARIUS JOHNSON MHS
9663 HERON SPRINGS DR
SHREVEPORT, LA 71106-1662
Phone number:
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