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1699321851
AMY JOHANSSON
SPRINGFIELD, MO
NPI
1699321851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MO 2019028939)
Enumeration Date
2019-08-14
Last Update Date
2019-10-15
Business Address
AMY JOHANSSON
4350 S NATIONAL AVE STE B116
SPRINGFIELD, MO 65810-2658
Phone number: 417-881-1810
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Mailing Address
AMY JOHANSSON
4350 S NATIONAL AVE STE B116
SPRINGFIELD, MO 65810-2658
Phone number:
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