Individual
KATHLEEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2806 MATTHEW DR, SEDALIA, MO 65301-7981
(660) 829-6450
Mailing address
2806 MATTHEW DR, SEDALIA, MO 65301-7981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MO
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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