Individual
MRS. ANNIE F. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 DULLES DRIVE, CRISIS AND REFERRAL, LAFAYETTE, LA 70506-5004
(337) 262-5565
Mailing address
104 CLEARVIEW DR, BROUSSARD, LA 70518-5004
(337) 262-5565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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