Individual
JOHNNA JOLYNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
(970) 254-4872
Mailing address
PO BOX 481, MESA, CO 81643-0481
(970) 373-8417
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
276670
CO
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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