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Individual

MARISA LYNNE COZINE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2703 LAURELCREST CV, MEMPHIS, TN 38133-8134
(224) 532-7425
Mailing address
2703 LAURELCREST CV, MEMPHIS, TN 38133-8134
(224) 532-7425

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
09/15/2020
Last updated
07/18/2024
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