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1811160740
JACQUELINE JOHNSON
ATLANTA, GA
NPI
1811160740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TH0100X Psychologist, Health Service
Enumeration Date
2008-04-11
Last Update Date
2019-08-01
Business Address
JACQUELINE JOHNSON
2107 GARDENWOOD CT
ATLANTA, GA 30349
Phone number: 404-857-8639
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Mailing Address
JACQUELINE JOHNSON
2107 GARDENWOOD CT
ATLANTA, GA 30349-3206
Phone number: 404-857-8639
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