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Individual

AMBER NICOLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 7620, AUGUSTA, GA 30905-0620
(706) 993-7729
Mailing address
816 MIMOSA ST, THOMSON, GA 30824-1727
(706) 361-3629

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/17/2025
Last updated
03/17/2025
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