Individual
MRS. STEPHANIE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
5103 W PIERSON RD, SUITE #3, FLINT, MI 48504-1395
(810) 423-1076
(810) 391-2968
Mailing address
5473 MOCERI LN, GRAND BLANC, MI 48439-4369
(810) 423-1076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000349
MI
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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