Individual
ANITA DESIREE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 656-5516
(425) 656-4028
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 656-5516
(425) 656-4028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL0004553
WA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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