Individual
LAURIE KAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
6230 10TH ST N, SUITE 220, OAKDALE, MN 55128-6158
(651) 739-2300
Mailing address
6230 10TH ST N, SUITE 220, OAKDALE, MN 55128-6158
(651) 739-2300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8255569
MN
Other
Enumeration date
12/30/2006
Last updated
07/09/2007
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