Individual
KASSANDRA IRENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1311 N 24TH ST, OMAHA, NE 68102-4010
(402) 344-0441
Mailing address
1311 N 24TH ST, OMAHA, NE 68102-4010
(402) 344-0441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4732710825
NE
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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