Individual
MS. JILLIAN SKYE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
10844 PROVIDENCE RD STE 225, CHARLOTTE, NC 28277-4107
(919) 285-1647
(919) 576-1366
Mailing address
814 SHADOW LAKE DR, WILLOW SPRING, NC 27592-9138
(919) 285-1647
(919) 576-1366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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