Individual
CASEY E JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1573 FALL RIVER AVE, SEEKONK, MA 02771-3740
(508) 617-8396
Mailing address
68 CHEROKEE DR, PORTSMOUTH, RI 02871-2910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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