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Individual

MISS RACHEL D JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCD,CCCSLP

Contact information

Practice address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184
Mailing address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1608
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139774721
AR
01
5W436
BLUE CROSS
AR
Enumeration date
12/05/2006
Last updated
02/26/2014
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