Individual
LAURI JENNIFER MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
9150 W INDIAN SCHOOL RD, PHOENIX, AZ 85037-2384
(623) 500-2409
Mailing address
13019 N 100TH AVE, SUN CITY, AZ 85351-2801
(480) 267-3972
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11709
AZ
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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