Individual
SAVANA JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6514 260TH ST E, GRAHAM, WA 98338-9648
(253) 800-5000
Mailing address
516 176TH ST E, SPANAWAY, WA 98387-8335
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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