Individual
DIONNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 TIMBER WALK CT., LAGRANGE, KY 40031
(703) 575-8129
Mailing address
2224 TRACI DR, MURRAY, KY 42071-4693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
263232
KY
Other
Enumeration date
06/09/2019
Last updated
05/24/2020
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