Individual
MS. MARY Z. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SPL
Contact information
Practice address
950 N SUNVALLEY BLVD, MESA, AZ 85207-3801
(480) 472-3989
Mailing address
1707 N PAPILLON CIR, MESA, AZ 85205-3676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0302
AZ
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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