Individual
JOSIE LYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5250 HERITAGE PKWY, FORT WAYNE, IN 46835-1061
(260) 209-6279
Mailing address
3003 GRANDVIEW DR, FORT WAYNE, IN 46804-2821
(260) 224-7032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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