Individual
MRS. SHANON HODGES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12 BILTMORE TURN, HATTIESBURG, MS 39402-7038
(601) 467-0410
Mailing address
12 BILTMORE TURN, HATTIESBURG, MS 39402-7038
(601) 467-0410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2480
MS
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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