Individual
MRS. JANE T JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
22714 SOFIE RD, MONROE, WA 98272-7682
(360) 805-0323
Mailing address
22714 SOFIE RD, MONROE, WA 98272-7682
(360) 805-0323
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60117805
WA
Other
Enumeration date
01/01/2010
Last updated
01/01/2010
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