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Individual

MRS. DIANE MASON JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
612 TRAVIS ST APT 11D, KERRVILLE, TX 78028-4767
(210) 724-8812
Mailing address
612 TRAVIS ST APT 11D, KERRVILLE, TX 78028-4767
(210) 724-8812

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107573
TX

Other

Enumeration date
05/01/2015
Last updated
05/01/2015
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