Individual
SUSAN LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3060 S CORAL CT, SIOUX FALLS, SD 57103-4830
(605) 371-1101
Mailing address
3060 S CORAL CT, SIOUX FALLS, SD 57103-4830
(605) 371-1101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
SD
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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