Provider Information for 1295048965
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DEBORAHA JOHNSON LPC
Sex: Female
NPI: 1295048965
Last Updated: 2010-07-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1295048965 | ||||||||
| Enumeration Date | 2010-07-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2022 15TH AVE COLUMBUS, GA 31901-1608 United States Phone: 706-649-6500 | Fax:706-649-6521 | ||||||||
| Primary Practice Address | 2022 15TH AVE COLUMBUS, GA 31901-1608 United States Phone: 706-649-6500 | Fax:706-649-6521 | ||||||||
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