Individual
MURIAL TERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 MAIN ST N, AMORY, MS 38821-3420
(662) 256-7416
(662) 256-9988
Mailing address
1093 C AVE, AMORY, MS 38821-2915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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