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Individual
VIRGINIA JOHNSON
Active
Individual
VIRGINIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4463882939
—
TX
Enumeration date
02/15/2008
Last updated
02/15/2008
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