Individual
MISS LAURA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 761-2003
Mailing address
118 BOBWHITE DR, AIKEN, SC 29801-1149
(803) 761-2003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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