Individual
MRS. LISA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
35766 CRANBROOK CT, NEW BALTIMORE, MI 48047-4297
(586) 612-2994
Mailing address
35766 CRANBROOK CT, NEW BALTIMORE, MI 48047-4297
(586) 612-2994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/09/2009
Last updated
05/09/2009
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