Individual
CARLY JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5202 OLYMPIC DR STE 100, GIG HARBOR, WA 98335-1727
(253) 851-0007
Mailing address
5202 OLYMPIC DR STE 100, GIG HARBOR, WA 98335-1727
(253) 851-0007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WA
Other
Enumeration date
02/11/2020
Last updated
11/27/2023
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