Individual
ALLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP/CF
Contact information
Practice address
3 BRAZIER LN, KENNEBUNK, ME 04043-7095
(207) 985-3030
Mailing address
3 BRAZIER LN, KENNEBUNK, ME 04043-7095
(207) 985-3030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST1902
ME
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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