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Individual
JANE M JOHNSON
Active
Individual
JANE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
13359
CA
235Z00000X
Speech-Language Pathologist
Primary
SP 13359
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851638381
—
CA
Enumeration date
01/03/2013
Last updated
12/14/2020
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