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Individual

DR. GLENN ALBERT JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2611 NE 125TH ST, SUITE 225, SEATTLE, WA 98125-4373
(206) 361-6884
Mailing address
6828 30TH AVE NE, SEATTLE, WA 98115-7241
(206) 527-9105

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002989
WA

Other

Enumeration date
06/12/2006
Last updated
07/08/2007
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