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1982076980
TIARA JOHNSON
SHREVEPORT, LA
NPI
1982076980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-29
Last Update Date
2021-12-06
Business Address
TIARA JOHNSON
3341 YOUREE DR STE 10B
SHREVEPORT, LA 71105-2149
Phone number: 318-621-0910
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Mailing Address
TIARA JOHNSON
3341 YOUREE DR STE 10B
SHREVEPORT, LA 71105-2149
Phone number: 318-621-0910
Copy
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