Individual
JENNIFER ANN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
227 E SANILAC RD, SANDUSKY, MI 48471-1160
(810) 404-1220
Mailing address
227 E SANILAC RD, SANDUSKY, MI 48471-1160
(810) 404-1220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001142
MI
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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