Individual
LISA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 HURRICANE VLY, HARDEEVILLE, SC 29927-4056
(843) 310-1888
Mailing address
150 HURRICANE ALLEY, HARDEEVILLE, SC 29927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
872
SC
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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