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Individual

MS. MARY LOU B JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
9139 RIDGELINE BLVD, 100, HIGHLANDS RANCH, CO 80129-2333
(720) 478-2370
(720) 478-7069
Mailing address
9139 RIDGELINE BLVD, 100, HIGHLANDS RANCH, CO 80129-2333
(720) 478-2370
(720) 478-7069

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0000509
CO

Other

Enumeration date
01/17/2017
Last updated
01/17/2017
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