Individual
KATE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF SLP
Contact information
Practice address
567 N AND SOUTH RD APT C, SAINT LOUIS, MO 63130-3939
(314) 380-3088
Mailing address
567 N AND SOUTH RD APT C, SAINT LOUIS, MO 63130-3939
(314) 380-3088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20119026457
MO
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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