Individual
GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 HUNTER PL STE 101, WOODBRIDGE, VA 22192-3940
(571) 285-0331
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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