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1104589886
MICHELLE ANN MASON JOHNCK
SACRAMENTO, CA
NPI
1104589886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 23262)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
MICHELLE ANN MASON JOHNCK MA, CCC-SLP
5301 F STREET
SACRAMENTO, CA 95819
Phone number:
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Mailing Address
MICHELLE ANN MASON JOHNCK MA, CCC-SLP
19173 W RIDGE DR
PENN VALLEY, CA 95946-9486
Phone number: 512-550-6098
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