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1609596360
SHELLY JOHNSON
AUGUSTA, GA
NPI
1609596360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC013070)
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
SHELLY JOHNSON
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
SHELLY JOHNSON
409 NORMANDY PL
AUGUSTA, GA 30909-2029
Phone number: 706-799-7262
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