Individual
MRS. LAURA D. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC/SLP
Contact information
Practice address
600 DEEP FOREST LN, CLAYTON, NC 27527-6270
(919) 550-9110
Mailing address
600 DEEP FOREST LN, CLAYTON, NC 27527-6270
(919) 550-9110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12116016
NC
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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