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1811460256
TINA JOHNSON
HATTIESBURG, MS
NPI
1811460256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS C8883)
Enumeration Date
2019-01-08
Last Update Date
2021-10-29
Business Address
Ms. TINA JOHNSON LCSW
2008 OAK GROVE RD APT 10
HATTIESBURG, MS 39402-1416
Phone number: 832-740-9198
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Mailing Address
Ms. TINA JOHNSON LCSW
2008 OAK GROVE RD APT 10
HATTIESBURG, MS 39402-1416
Phone number: 832-740-9198
Copy
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