Individual
ANGELA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N BROAD ST, LAMPASAS, TX 76550-1105
(512) 556-3588
Mailing address
191 COUNTY ROAD 417, GOLDTHWAITE, TX 76844-3618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15644
TX
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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