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1477097368
EDWARD C JOHNSON
ZACHARY, LA
NPI
1477097368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 0000000000)
Enumeration Date
2016-12-12
Last Update Date
2016-12-12
Business Address
-- EDWARD C JOHNSON
24020 PLANK RD
ZACHARY, LA 70791-6429
Phone number: 225-654-9291
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Mailing Address
-- EDWARD C JOHNSON
24020 PLANK RD
ZACHARY, LA 70791-6429
Phone number: 225-654-9291
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