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1093192759
DIANE MASON JOHNSON
KERRVILLE, TX
NPI
1093192759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 107573)
Enumeration Date
2015-05-01
Last Update Date
2015-05-01
Business Address
Mrs. DIANE MASON JOHNSON M.S., CCC-SLP
612 TRAVIS ST APT 11D
KERRVILLE, TX 78028-4767
Phone number: 210-724-8812
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Mailing Address
Mrs. DIANE MASON JOHNSON M.S., CCC-SLP
612 TRAVIS ST APT 11D
KERRVILLE, TX 78028-4767
Phone number: 210-724-8812
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