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1538716014
JENNIFER JOHNSON
JACKSON, MS
NPI
1538716014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C8480)
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
JENNIFER JOHNSON LCSW
4400 OLD CANTON RD
JACKSON, MS 39211-5982
Phone number: 601-984-4465
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Mailing Address
JENNIFER JOHNSON LCSW
2500 N. STATE STREET CBO - SUITE 4200
JACKSON, MS 39216-4500
Phone number: 601-496-9794
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