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1902521362
BEVERLY JOHNSON
WAYNESBORO, MS
NPI
1902521362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2022-10-07
Last Update Date
2022-10-07
Business Address
BEVERLY JOHNSON IDD WAIVER SERVICES
1406 MISSISSIPPI DR
WAYNESBORO, MS 39367-8901
Phone number: 601-735-2958
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Mailing Address
BEVERLY JOHNSON IDD WAIVER SERVICES
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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