Individual
MS. MARJORIE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC
Contact information
Practice address
6701 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4602
(952) 993-2244
Mailing address
2782 AUTUMNWOOD LN, MINNETONKA, MN 55305-3490
(952) 545-5525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5063
MN
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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