Individual
JACQUELINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2812 MULBERRY ST, SAINT JOSEPH, MO 64501-2649
(870) 335-7985
Mailing address
2812 MULBERRY ST, SAINT JOSEPH, MO 64501-2649
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
159322
CO
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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