Individual
JESSIE RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
105 W 8TH AVE STE 7060, SPOKANE, WA 99204-2327
(217) 607-3338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61255987
WA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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