Individual
MIRANDA JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3244 51ST ST S, FARGO, ND 58104-7179
(701) 356-0062
(701) 356-5412
Mailing address
3244 51ST ST S, FARGO, ND 58104-7179
(701) 356-0062
(701) 356-5412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2684
ND
Other
Enumeration date
06/10/2024
Last updated
11/13/2025
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