KEVIN R JOHNSON

THIBODAUX, LA
NPI1942760699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-03-20
Last Update Date2019-06-11
Business Address
KEVIN R JOHNSON
303 HICKORY ST
THIBODAUX, LA 70301-2011
Phone number: 985-446-2936
Mailing Address
KEVIN R JOHNSON
303 HICKORY ST
THIBODAUX, LA 70301-2011
Phone number: 985-446-2936
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