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Individual

DR. SOPHIA JOHNSON

Active
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Individual

DR. SOPHIA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EDD, LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC007623
GA
101YP2500X
Professional Counselor
Primary
LPC007623
GA

Other

Enumeration date
12/25/2014
Last updated
12/25/2014
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