Individual
BRANDY NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
700 N OAK ST, VALDOSTA, GA 31601-4579
(229) 241-7299
(229) 241-7986
Mailing address
300 SUNSET CIR, MOULTRIE, GA 31768-6934
(229) 985-2080
(229) 890-3397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012363
GA
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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