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1528591724
CHARLES JOHNSON
OPELOUSAS, LA
NPI
1528591724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-05
Last Update Date
2017-04-05
Business Address
-- CHARLES JOHNSON
512 SAPPHIRE ST
OPELOUSAS, LA 70570-3536
Phone number: 337-948-0018
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Mailing Address
-- CHARLES JOHNSON
512 SAPPHIRE ST
OPELOUSAS, LA 70570-3536
Phone number: 337-948-0018
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