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Individual
MISS RACHEL D JOHNSON
Active
Individual
MISS RACHEL D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD,CCCSLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1608
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139774721
—
AR
01
—
5W436
BLUE CROSS
AR
Enumeration date
12/05/2006
Last updated
02/26/2014
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