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1518601095
CLEMENTINE JOHNSON
SHREVEPORT, LA
NPI
1518601095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
CLEMENTINE JOHNSON
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-636-4194
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Mailing Address
CLEMENTINE JOHNSON
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-636-4194
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