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Individual

JANETTE EANES JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
710 SMITH ST, MARTINSVILLE, VA 24112-2597
(276) 403-5838
Mailing address
746 INDIAN TRL # 5548, MARTINSVILLE, VA 24112-4520
(276) 403-5838

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000183
VA

Other

Enumeration date
08/01/2018
Last updated
08/01/2018
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