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Individual

MRS. ASHLEY DENISE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,CCC-SLP

Contact information

Practice address
1001 HOSPITAL RD, STARKVILLE, MS 39759-2125
(662) 323-6360
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
(800) 995-2673
(888) 979-6551

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0000004353
TN
235Z00000X
Speech-Language Pathologist
S-3604
MS
235Z00000X
Speech-Language Pathologist
Primary
S3604
MS

Other

Enumeration date
11/07/2013
Last updated
07/06/2022
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