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Individual

MRS. HEATHER BREWER JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC/SLP

Contact information

Practice address
4516 KY 15 NORTH, PINE RIDGE, KY 41360
(606) 668-7938
Mailing address
PO BOX 975, CAMPTON, KY 41301-0975
(606) 668-7938

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
143032
KY

Other

Enumeration date
10/25/2006
Last updated
07/30/2021
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