Individual
TIFFANY LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 LINWOOD DR, PARAGOULD, AR 72450-4077
(870) 520-8761
Mailing address
146 LINWOOD DR, PARAGOULD, AR 72450-4077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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