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1578086609
CHRISTOPHER L JOHNSON
THIBODAUX, LA
NPI
1578086609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-20
Last Update Date
2017-07-20
Business Address
Mr. CHRISTOPHER L JOHNSON
142 LAURA DR STE D
THIBODAUX, LA 70301-2988
Phone number: 985-446-4114
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Mailing Address
Mr. CHRISTOPHER L JOHNSON
PO BOX 29
THIBODAUX, LA 70302-0029
Phone number: 985-446-4114
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