Individual
CLAIRE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 KONOCTI RD, KELSEYVILLE, CA 95451-9398
(707) 279-4435
Mailing address
2900 CHARLEVOIX DR SE STE 200, GRAND RAPIDS, MI 49546-7517
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
01/18/2022
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