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1962859132
TRACY LAMONT JOHNSON
SHREVEPORT, LA
NPI
1962859132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
Mr. TRACY LAMONT JOHNSON
2924 KNIGHT ST
SHREVEPORT, LA 71105-2415
Phone number: 318-754-3560
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Mailing Address
Mr. TRACY LAMONT JOHNSON
114 HAMMERLY DR
SHREVEPORT, LA 71115-3411
Phone number: 318-584-9666
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