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Individual

JULIA K JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-SLP

Contact information

Practice address
106 S HOLMEN DR, SUITE 2, HOLMEN, WI 54636-9467
(608) 526-9888
(608) 526-9965
Mailing address
115 11TH ST S, LA CROSSE, WI 54601-4142
(608) 738-5028

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1484-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1484-154
SLP LICENSE
WI
Enumeration date
01/25/2007
Last updated
06/22/2010
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