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1912631615
VIVIA LATRICE JOHNSON
AUGUSTA, GA
NPI
1912631615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA APC008331)
Enumeration Date
2022-07-11
Last Update Date
2022-07-11
Business Address
VIVIA LATRICE JOHNSON LAPC
2100 CENTRAL AVE STE D1
AUGUSTA, GA 30904-6709
Phone number: 706-843-6245
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Mailing Address
VIVIA LATRICE JOHNSON LAPC
PO BOX 7660
NORTH AUGUSTA, SC 29861-7660
Phone number: 706-843-6241
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