Individual
JULIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5985 RICE CREEK PKWY STE 205, SHOREVIEW, MN 55126-5037
(612) 888-4757
Mailing address
5985 RICE CREEK PKWY STE 205, SHOREVIEW, MN 55126-5037
(612) 888-4757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8614
MN
Other
Enumeration date
01/31/2012
Last updated
10/17/2021
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