Individual
SHAMIQUA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
500 SUN VALLEY DR, ROSWELL, GA 30076-1482
(347) 400-1772
Mailing address
5756 GRANDE RIVER RD, ATLANTA, GA 30349-9140
(347) 400-1772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008964
GA
Other
Enumeration date
11/09/2015
Last updated
09/16/2022
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