Individual
MS. DEBRA EUNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
213 CRAKSTON CT, BONAIRE, GA 31005-3223
(478) 997-1979
Mailing address
213 CRAKSTON CT, BONAIRE, GA 31005-3223
(478) 997-1979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP3621
GA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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