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1851719082
AMANDA JOHNSON
JACKSON, MS
NPI
1851719082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MS M7862)
Enumeration Date
2014-04-04
Last Update Date
2014-04-04
Business Address
-- AMANDA JOHNSON
1059 EASTVIEW ST
JACKSON, MS 39203-3119
Phone number: 601-672-4090
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Mailing Address
-- AMANDA JOHNSON
1059 EASTVIEW ST
JACKSON, MS 39203-3119
Phone number: 601-672-4090
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