Individual
ETOY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
565 S MAJOR DR, BEAUMONT, TX 77707-1536
(409) 617-7103
Mailing address
3395 HARRISON AVE, BEAUMONT, TX 77706-5009
(409) 617-5000
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
33898
TX
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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