Individual
PAIGE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
(573) 472-0409
Mailing address
PO BOX 608, SIKESTON, MO 63801-0608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022019477
MO
Other
Enumeration date
07/12/2022
Last updated
10/25/2022
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