RALPHEAL JOHNSON

SHREVEPORT, LA
NPI1659899326
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2017-09-01
Last Update Date2018-05-02
Business Address
Mr. RALPHEAL JOHNSON
1500 N MARKET ST STE C104
SHREVEPORT, LA 71107-6545
Phone number: 504-383-4775
Mailing Address
Mr. RALPHEAL JOHNSON
PO BOX 52104
SHREVEPORT, LA 71135-2104
Phone number:
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