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1598319303
SHATORIA BRIANNE JOHNSON
MALVERN, AR
NPI
1598319303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AR A2106007)
Enumeration Date
2019-07-30
Last Update Date
2021-06-15
Business Address
SHATORIA BRIANNE JOHNSON LAC
1615 MARTIN LUTHER KING BLVD
MALVERN, AR 72104-2233
Phone number: 501-332-5236
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Mailing Address
SHATORIA BRIANNE JOHNSON LAC
125 WELLNESS WAY
HOT SPRINGS, AR 71913-6478
Phone number: 501-624-7111
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