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1124696026
ALICIA JOHNSON
COEUR D ALENE, ID
NPI
1124696026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID SLP-4645)
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
ALICIA JOHNSON M.S. CCC-SLP
411 W HAYCRAFT AVE STE D1
COEUR D ALENE, ID 83815-8104
Phone number: 208-664-2468
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Mailing Address
ALICIA JOHNSON M.S. CCC-SLP
30138 DISNEY LN
VISTA, CA 92084-1230
Phone number: 916-717-7658
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