Individual
MRS. JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
300 FAULKNER DR, BAY MINETTE, AL 36507-2771
(251) 937-9881
(251) 937-9804
Mailing address
300 FAULKNER DR, BAY MINETTE, AL 36507-2771
(251) 937-9881
(251) 937-9804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2681
AL
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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