Individual
MRS. ANGELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
18250 RHINO RD, SPIRO, OK 74959-4720
(918) 839-0043
Mailing address
18250 RHINO RD, SPIRO, OK 74959-4720
(918) 839-0043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3663
OK
235Z00000X
Speech-Language Pathologist
Primary
4201
AR
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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