Individual
MISS DEBORAH SUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D., CCC-SLP
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
4110 SCENIC DR, SHREVEPORT, LA 71119-7123
(318) 617-3458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2290
LA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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