Individual
JOHANNA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3615 MAGNOLIA HILLS DR, NORTHPORT, AL 35473
(708) 927-5238
Mailing address
3615 MAGNOLIA HILLS DR, NORTHPORT, AL 35473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5238
AL
Other
Enumeration date
03/10/2025
Last updated
03/17/2025
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