Individual
KARA ROSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21045 N 9TH PL STE 204, PHOENIX, AZ 85024-5635
(602) 726-2300
Mailing address
2537 W PORTOBELLO AVE, MESA, AZ 85202-7807
(480) 907-4825
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2355S0801X
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP7656
AZ
Other
Enumeration date
03/22/2012
Last updated
10/19/2023
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