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1679023683
TIFFANY JOHNSON
SHREVEPORT, LA
NPI
1679023683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: 13482)
Enumeration Date
2016-10-13
Last Update Date
2018-09-25
Business Address
TIFFANY JOHNSON
856 TEXAS AVE
SHREVEPORT, LA 71101-3400
Phone number: 318-429-6938
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Mailing Address
TIFFANY JOHNSON
9418 E MONTEGO LN
SHREVEPORT, LA 71118-3608
Phone number: 318-663-4493
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