Individual
MS. REBECCA JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 E FLORIAN AVE, MESA, AZ 85206-2798
(480) 757-2253
Mailing address
1420 S 30TH ST, MESA, AZ 85204-6348
(480) 708-0683
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11465
AZ
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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