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Individual

SHAY JOHNSON

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
3120 4TH AVE NW, MINOT, ND 58703-2811
(701) 839-1311
Mailing address
1250 27TH AVE NW APT 225, MINOT, ND 58703-0860

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2562
ND

Other

Enumeration date
09/13/2022
Last updated
05/08/2024
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