Individual
JENNIFER ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
909 WILSON RD STE B119, EAST LANSING, MI 48824-6410
(517) 353-3070
(517) 884-1817
Mailing address
804 SERVICE RD STE A202, EAST LANSING, MI 48824-7015
(517) 353-3070
(517) 884-1817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006983
MI
Other
Enumeration date
08/19/2021
Last updated
02/26/2025
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