JACQUELINE RUTH JOHNSON

DECATUR, GA
NPI1750504353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: GA  146319)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
Ms. JACQUELINE RUTH JOHNSON M.Div.
4425 MEMORIAL DR
DECATUR, GA 30032-1337
Phone number: 404-298-8383
Mailing Address
Ms. JACQUELINE RUTH JOHNSON M.Div.
764 WYNBROOKE PKWY
STONE MOUNTAIN, GA 30087-6322
Phone number: 770-469-1225
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