Individual
JACQUELINE J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
709 N KNISS AVE, LUVERNE, MN 56156-1229
(507) 283-4497
Mailing address
812 BLUE WATER CIR, LUVERNE, MN 56156-1302
(605) 228-0142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12008996
MN
235Z00000X
Speech-Language Pathologist
Primary
12008996
SD
Other
Enumeration date
08/17/2012
Last updated
04/23/2026
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