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1992903181
HEATHER JOHNSON
ELLISVILLE, MS
NPI
1992903181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MS m5462)
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
-- HEATHER JOHNSON LMSW
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437-5050
Phone number: 601-649-7921
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Mailing Address
-- HEATHER JOHNSON LMSW
PO BOX 113
LAUREL, MS 39441-0113
Phone number: 601-649-7921
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