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Individual

JANE HOUSEAL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
2609 WALNUT ST, ELIZABETHTOWN, NC 28337-9134
(910) 620-5431
Mailing address
PO BOX 1916, ELIZABETHTOWN, NC 28337-1916
(910) 620-5431

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13691
NC

Other

Enumeration date
11/22/2019
Last updated
06/10/2025
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