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1720670011
LACHARRA JOHNSON
SHREVEPORT, LA
NPI
1720670011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-21-154825)
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
LACHARRA JOHNSON RBT
2715 MACKEY PL STE 230
SHREVEPORT, LA 71118-2544
Phone number: 318-779-1397
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Mailing Address
LACHARRA JOHNSON RBT
8450 PARKDALE DR
SHREVEPORT, LA 71108-5322
Phone number: 318-751-3631
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