Individual
MRS. MOLLY JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
600 S 1ST ST, EAGLE, NE 68347-5083
(402) 781-2210
Mailing address
9911 W ATHENS CT, DENTON, NE 68339-3262
(402) 981-1541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
616
NE
Other
Enumeration date
02/12/2018
Last updated
08/12/2020
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