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1225517717
TERESA MICHELLE JOHNSON
MOUNTAIN HOME, ID
NPI
1225517717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: ID TSLP-3578)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
TERESA MICHELLE JOHNSON MS CF-SLP
245 N 3RD E
MOUNTAIN HOME, ID 83647-2734
Phone number: 208-587-8255
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Mailing Address
TERESA MICHELLE JOHNSON MS CF-SLP
245 N 3RD E
MOUNTAIN HOME, ID 83647-2734
Phone number: 208-587-8255
Copy
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