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1831775675
ELISA R. JOHNSON
BRANDON, MS
NPI
1831775675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
Ms. ELISA R. JOHNSON MS, CAT
613 MARQUETTE RD
BRANDON, MS 39042-3038
Phone number: 601-591-5553
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Mailing Address
Ms. ELISA R. JOHNSON MS, CAT
613 MARQUETTE RD
BRANDON, MS 39042-3038
Phone number: 601-591-5553
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