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1538610753
YOLANDA LATRICE JOHNSON
MEMPHIS, TN
NPI
1538610753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
YOLANDA LATRICE JOHNSON
2165 SPICER CV STE 5
MEMPHIS, TN 38134-5623
Phone number: 469-547-3881
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Mailing Address
YOLANDA LATRICE JOHNSON
5048 CHURCH LAKE DR APT 1B
SOUTHAVEN, MS 38671-8546
Phone number: 469-547-3881
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