Individual
JILL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 452-3782
Mailing address
PO BOX 11497, FORT SMITH, AR 72917-1497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/28/2012
Last updated
05/28/2012
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