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1710492152
NICOLE JOHNSON
SHREVEPORT, LA
NPI
1710492152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-07
Last Update Date
2020-01-27
Business Address
Mrs. NICOLE JOHNSON
800 SPRING ST STE 215
SHREVEPORT, LA 71101-3757
Phone number: 318-227-8390
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Mailing Address
Mrs. NICOLE JOHNSON
800 SPRING ST STE 215
SHREVEPORT, LA 71101-3757
Phone number:
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