Individual
ALANA RONEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
445 EMORY ST, FLORA, IL 62839-2701
(618) 662-2014
Mailing address
445 EMORY ST, FLORA, IL 62839-2701
(618) 662-2014
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
146.016013
IL
261QS1000X
Student Health Clinic/Center
242.006086
IL
Other
Enumeration date
09/01/2020
Last updated
08/07/2024
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