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Individual

DESHONOA L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 S SPRING ST., CAPE GIRARDEAU, MO 63703
(573) 651-4177
Mailing address
20 S SPRING STREET, CAPE GIRARDEAU, MO 63703
(573) 651-4177

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/30/2025
Last updated
04/30/2025
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