Individual
ANNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 ROBB STREET EXT W, SUMMIT, MS 39666-7048
(601) 324-3324
(601) 385-3040
Mailing address
1019 LIBERTY WHITE LN, MCCOMB, MS 39648-9575
(601) 324-3324
(601) 385-3040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
317508
MS
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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