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1710343728
SHELLY JOHNSON
METAIRIE, LA
NPI
1710343728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 5957)
Enumeration Date
2016-01-06
Last Update Date
2016-01-06
Business Address
-- SHELLY JOHNSON
7809 AIRLINE DR STE 210
METAIRIE, LA 70003-6440
Phone number: 504-731-3100
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Mailing Address
-- SHELLY JOHNSON
116 FAY WAY
SLIDELL, LA 70460-3212
Phone number:
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