Individual
JORDAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED CCC-SLP
Contact information
Practice address
8221 N MOHAWK RD, FOX POINT, WI 53217-2725
(815) 871-9570
Mailing address
1905 N WATER ST APT 305, MILWAUKEE, WI 53202-1589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
05/06/2024
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