Individual
MS. NICOLE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2066 QUECHEE MAIN STREET, APARTMENT 4, QUECHEE, VT 05059
(802) 281-9102
Mailing address
PO BOX 235, QUECHEE, VT 05059-0235
(802) 281-9102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VT
Other
Enumeration date
05/01/2010
Last updated
06/07/2011
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