Individual
MRS. KIMBERLY F JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 791-7200
Mailing address
5741 SPRIGGS MEADOW DR, WOODBRIDGE, VA 22193-6203
(202) 870-8554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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