Individual
MRS. MIRANDA JOHNSON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
115 N MEMORIAL DR, PRATTVILLE, AL 36067-3336
(334) 491-0066
Mailing address
6904 COUNTY ROAD 9, TYLER, AL 36785-5033
(334) 413-0038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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