Individual
STACI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-5128
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3632
AL
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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