Organization
ANNA JOHANSEN-CCC/SLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LEE JOHANSEN CCC/SLP (SPEECH LANGUAGE PATHOLOGIST)
(218) 854-7334
Entity
Organization
Contact information
Practice address
47760 SUNSET DR, BECIDA, MN 56678-4493
(218) 854-7334
Mailing address
47760 SUNSET DR, BECIDA, MN 56678-4493
(218) 854-7334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
250269
MN
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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