Individual
MRS. LISA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, CCC/SLP
Contact information
Practice address
16 MAPLE AVE, GOFFSTOWN, NH 03045-1907
(603) 497-3330
(603) 497-5624
Mailing address
16 MAPLE AVE, GOFFSTOWN, NH 03045-1907
(603) 497-3330
(603) 497-5624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0356
NH
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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