Individual
MRS. CAROLYN ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
12375 ADEN RD, NOKESVILLE, VA 20181-2320
(571) 781-3040
Mailing address
12375 ADEN RD, NOKESVILLE, VA 20181-2320
(571) 781-3040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001526
VA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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