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1922741024
CASEY ERIC JOHNSON
HATTIESBURG, MS
NPI
1922741024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C9324)
Enumeration Date
2022-04-16
Last Update Date
2022-04-16
Business Address
CASEY ERIC JOHNSON LCSW
107 W PARK DR
HATTIESBURG, MS 39402-1363
Phone number: 601-909-6114
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Mailing Address
CASEY ERIC JOHNSON LCSW
107 W PARK DR
HATTIESBURG, MS 39402-1363
Phone number: 601-577-1463
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