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1740723303
SHANE JOHNSON
NEW ORLEANS, LA
NPI
1740723303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
-- SHANE JOHNSON
3447 DERBY PL
NEW ORLEANS, LA 70119-2013
Phone number: 504-756-4028
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Mailing Address
-- SHANE JOHNSON
3447 DERBY PL
NEW ORLEANS, LA 70119-2013
Phone number: 504-756-4028
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