Individual
LAURA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6415
(712) 264-6542
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6415
(712) 264-6542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002003
IA
Other
Enumeration date
11/19/2012
Last updated
12/17/2015
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