Individual
JOHNNA JOYCE KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2615 LILAC ST, LONGVIEW, WA 98632
(360) 575-7000
Mailing address
2715 LILAC ST, LONGVIEW, WA 98632-3526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60798378
WA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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