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Individual

JESSICA ELIZABETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3105 CREEKSIDE VILLAGE DR NW STE 603, KENNESAW, GA 30144-4218
(770) 974-2424
(866) 384-6451
Mailing address
3105 CREEKSIDE VILLAGE DR NW STE 603, KENNESAW, GA 30144-4218
(770) 974-2424
(866) 384-6451

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007099
GA

Other

Enumeration date
07/05/2009
Last updated
07/05/2009
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