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Individual
TAYLAR BOUTTE JOHNSON
Active
Individual
TAYLAR BOUTTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21583
FL
235Z00000X
Speech-Language Pathologist
8338
LA
Other
Enumeration date
03/08/2023
Last updated
12/19/2023
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