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1669979076
QUANIA NELLECA JOHNSON
BATON ROUGE, LA
NPI
1669979076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-04-11
Last Update Date
2019-11-11
Business Address
QUANIA NELLECA JOHNSON
4315 BLUEBONNET BLVD STE B
BATON ROUGE, LA 70809-9661
Phone number: 225-223-6968
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Mailing Address
QUANIA NELLECA JOHNSON
4315 BLUEBONNET BLVD STE B
BATON ROUGE, LA 70809-9661
Phone number: 225-223-6968
Copy
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