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Individual

ELISE JOHNSON

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
520 MAIN ST, GILBERT, SC 29054-8441
(803) 821-1627
Mailing address
300 CAUGHMAN FARM LN APT 719, LEXINGTON, SC 29072-6871

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8901
SC

Other

Enumeration date
07/29/2026
Last updated
07/29/2026
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