SHAVESHA LALETTE JOHNSON

SHREVEPORT, LA
NPI1780030890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2016-05-06
Last Update Date2016-05-06
Business Address
-- SHAVESHA LALETTE JOHNSON MHS
1717 MARSHALL ST
SHREVEPORT, LA 71101-4139
Phone number: 318-226-9942
Mailing Address
-- SHAVESHA LALETTE JOHNSON MHS
400 JOHN WESLEY BLVD APT 38
BOSSIER CITY, LA 71112-2299
Phone number: 318-560-3093
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