Individual
SHAWNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2290 E PROSPECT RD STE 4, FORT COLLINS, CO 80525-9768
(970) 305-4730
(970) 305-3403
Mailing address
2031 WESTPOINT CT, FORT COLLINS, CO 80526-3353
(970) 310-6146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0001171
CO
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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