Individual
ANGELA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
611 S MARSHALL AVE # 429, MC LEANSBORO, IL 62859-1213
(618) 643-5556
Mailing address
660 GRAYSON RD, ELDORADO, IL 62930-3903
(618) 841-1363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
04/14/2009
Last updated
01/11/2016
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