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Data Detail

Name: Phillip Michael Johnson 

Designation: Psy.D.

Issue Date: 5/12/2023

Expiration Date: 6/30/2024

License Number: 63 1163

Disciplinary Action: None

Company: G.V. (Sonny) Montgomery VAMC

City: Jackson

State: MS

Zip: 39216

Work Phone:   Ext:

Civil Commitment Certification: