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Individual

LISA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
703 17TH ST NW, ALICEVILLE, AL 35442-1426
(205) 373-6307
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
AL6617968
AL

Other

Enumeration date
05/18/2009
Last updated
05/18/2009
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