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1629401823
ELITHA S JOHNSON
CLARKSVILLE, TN
NPI
1629401823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: TN 251B000000X)
Enumeration Date
2013-08-12
Last Update Date
2013-08-12
Business Address
Miss ELITHA S JOHNSON
812 GREENWOOD AVE
CLARKSVILLE, TN 37040-4068
Phone number: 931-920-7384
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Mailing Address
Miss ELITHA S JOHNSON
812 GREENWOOD AVENUE
CLARKSVILLE, TN 37040
Phone number:
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