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1437973609
ILYSSA JOHNSON
BATON ROUGE, LA
NPI
1437973609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: LA 16965)
Enumeration Date
2024-11-13
Last Update Date
2024-11-13
Business Address
ILYSSA JOHNSON
3084 WESTFORK DR STE C
BATON ROUGE, LA 70816-2254
Phone number: 225-960-1813
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Mailing Address
ILYSSA JOHNSON
13179 HAZLEWOOD DR
DENHAM SPRINGS, LA 70726-6596
Phone number: 225-590-1853
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