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1689398331
ASHANTI JOHNSON
HATTIESBURG, MS
NPI
1689398331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
(Licence: MS 5758)
Enumeration Date
2022-09-27
Last Update Date
2022-09-27
Business Address
ASHANTI JOHNSON PCMHT
1212 W 7TH ST
HATTIESBURG, MS 39401-2822
Phone number: 601-544-0571
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Mailing Address
ASHANTI JOHNSON PCMHT
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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