Individual
LAUREN MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 GREEN ST, ROSWELL, GA 30075-3609
(770) 998-1802
Mailing address
10301 JEFFERSON SQUARE CT, DECATUR, GA 30030-1740
(803) 530-0073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003977
GA
Other
Enumeration date
01/08/2024
Last updated
02/13/2024
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