Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 SCOTT ST, SAINT JOSEPH, MO 64507-1818
(816) 387-2986
Mailing address
301 SHIVEL AVE, GOWER, MO 64454-8114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020016723
MO
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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