Individual
KELSEY GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1010 E GARRISON BLVD, GASTONIA, NC 28054-4521
(704) 868-8551
Mailing address
131 POINDEXTER DR UNIT 1115, CHARLOTTE, NC 28203-0056
(815) 861-1862
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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