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Individual

ABBY MICHELE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CFY-SLP

Contact information

Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 249-5103
Mailing address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 249-5103

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
235Z00000X
Speech-Language Pathologist
Primary
095620
IA

Other

Enumeration date
01/21/2016
Last updated
06/05/2019
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