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1770054439
LA TONYA N JOHNSON
ELIZABETHTOWN, KY
NPI
1770054439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 175226)
Enumeration Date
2018-12-06
Last Update Date
2018-12-06
Business Address
LA TONYA N JOHNSON
723 HAWKINS DR
ELIZABETHTOWN, KY 42701-1063
Phone number: 270-900-0373
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Mailing Address
LA TONYA N JOHNSON
PO BOX 1086
ELIZABETHTOWN, KY 42702-1086
Phone number: 270-900-0373
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