Individual
MISS AUDREA JENEZ JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA #3261
Contact information
Practice address
861 AUTO CENTER DR, #D, PALMDALE, CA 73551
(661) 945-7878
(661) 945-7553
Mailing address
861 AUTO CENTER DR, #D, PALMDALE, CA 73551
(661) 945-7878
(661) 945-7553
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3261
CA
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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