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1710231956
MICHELLE R JOHNSON
VICKSBURG, MS
NPI
1710231956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MS T0102)
Enumeration Date
2012-11-08
Last Update Date
2012-11-08
Business Address
-- MICHELLE R JOHNSON LMFT
2707 JEANETTE ST
VICKSBURG, MS 39180-4635
Phone number: 601-218-7041
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Mailing Address
-- MICHELLE R JOHNSON LMFT
2707 JEANETTE ST
VICKSBURG, MS 39180-4635
Phone number: 601-218-7041
Copy
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