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1548906001
SALLIE D JOHNSON
JACKSON, MS
NPI
1548906001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-09
Last Update Date
2022-05-09
Business Address
SALLIE D JOHNSON
822 WINN ST APT SUITE
JACKSON, MS 39204-5414
Phone number: 601-832-7429
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Mailing Address
SALLIE D JOHNSON
860 E RIVER PL
JACKSON, MS 39202-3442
Phone number: 769-252-5550
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