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Individual

GRACE JUBY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6011 CHESTERTON WAY, COLLEGE DALE, TN 37363-1519
(423) 903-2498
Mailing address
10927 HIGH RIVER DR, SODDY DAISY, TN 37379-3280
(770) 880-5709
(770) 880-5709

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/07/2025
Last updated
05/07/2025
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