Individual
CAROLINE JOHANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 CARDINAL LN, COLUMBUS, TX 78934-2057
(979) 732-5276
Mailing address
105 CARDINAL LN, COLUMBUS, TX 78934-2057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17145
TX
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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