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1821463969
KAYLA NICOLE JOHNSON
SHREVEPORT, LA
NPI
1821463969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-01
Last Update Date
2024-10-11
Business Address
KAYLA NICOLE JOHNSON
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-621-3314
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Mailing Address
KAYLA NICOLE JOHNSON
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number:
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