Individual
AMANDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 S JEFFERSON WAY, INDIANOLA, IA 50125-3216
(515) 961-2596
Mailing address
1783 MAPLE CT, WINTERSET, IA 50273-8217
(402) 984-8884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
085706
IA
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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