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1154048908
BRANDY NICOLE JOHNSON
VALDOSTA, GA
NPI
1154048908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP012363)
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
BRANDY NICOLE JOHNSON CCC/SLP
700 N OAK ST
VALDOSTA, GA 31601-4579
Phone number: 229-241-7299
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Mailing Address
BRANDY NICOLE JOHNSON CCC/SLP
300 SUNSET CIR
MOULTRIE, GA 31768-6934
Phone number: 229-985-2080
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