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1619493145
JEANETTE JOHNSON
SHREVEPORT, LA
NPI
1619493145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-16
Last Update Date
2022-07-21
Business Address
JEANETTE JOHNSON
4019 GREENWOOD ROAD
SHREVEPORT, LA 71109
Phone number: 318-626-5462
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Mailing Address
JEANETTE JOHNSON
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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