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1588037642
KEYO JOHNSON
GONZALES, LA
NPI
1588037642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-10
Last Update Date
2022-10-12
Business Address
KEYO JOHNSON
630 W CORNERVIEW ST
GONZALES, LA 70737
Phone number: 225-647-4105
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Mailing Address
KEYO JOHNSON
8508 GREENWELL SPRINGS RD APT 164
BATON ROUGE, LA 70814-2425
Phone number: 225-270-1625
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