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1871126136
CONSTANCE JONTAE JOHNSON
MONROE, LA
NPI
1871126136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2020-02-14
Last Update Date
2020-02-14
Business Address
CONSTANCE JONTAE JOHNSON
1610 JACKSON ST
MONROE, LA 71202-2030
Phone number: 318-512-2857
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Mailing Address
CONSTANCE JONTAE JOHNSON
1610 JACKSON ST
MONROE, LA 71202-2030
Phone number: 318-512-2857
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