Individual
MRS. LIANORA GRANGER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
408 N CANYON ST, CARLSBAD, NM 88220-5812
(575) 234-3300
Mailing address
2217 FOOT HILL RD, CARLSBAD, NM 88220-3679
(575) 302-5538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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