Individual
MRS. ANITA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
17411 COBBLESTONE LN, CLERMONT, FL 34711-5910
(407) 656-0044
Mailing address
17411 COBBLESTONE LN, CLERMONT, FL 34711-5910
(407) 656-0044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7085
FL
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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