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1437685658
LEO JOHNSON
COLUMBIA, SC
NPI
1437685658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-09
Last Update Date
2017-05-09
Business Address
Mrs. LEO JOHNSON
90 BRIGHTON HILL RD
COLUMBIA, SC 29223-7987
Phone number: 803-898-0210
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Mailing Address
Mrs. LEO JOHNSON
90 BRIGHTON HILL RD
COLUMBIA, SC 29223-7987
Phone number:
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