Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
231 DAVIS ST, BRIDGEPORT, WV 26330-1703
(304) 842-0044
Mailing address
PO BOX 1276, BRIDGEPORT, WV 26330-6276
(304) 842-0044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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