Individual
CHRISTINE LOU JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC, SLP
Contact information
Practice address
1348 RATLEY RD, ALTONA, IL 61414-9426
(309) 484-4981
Mailing address
1348 RATLEY RD, ALTONA, IL 61414-9426
(309) 484-4981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.001532
IL
Other
Enumeration date
09/27/2008
Last updated
09/27/2008
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