Individual
LAUREN NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20329 N 59TH AVE STE A2, GLENDALE, AZ 85308-6854
(480) 787-5387
Mailing address
26705 N 55TH AVE, PHOENIX, AZ 85083-6388
(602) 616-4581
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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