TRACY JOHANSEN

DURHAM, NC
NPI1114198124
Former NameTRACY GILLIOM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  7785)
Enumeration Date2008-03-18
Last Update Date2016-04-12
Business Address
Mrs. TRACY JOHANSEN MEd CCC SLP
1507 BRAMBLE DR
DURHAM, NC 27712-1209
Phone number: 919-358-2520
Mailing Address
Mrs. TRACY JOHANSEN MEd CCC SLP
1507 BRAMBLE DR
DURHAM, NC 27712-1209
Phone number: 919-358-2520
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