MICHAEL BAGLEY JOHNSTON

STONEWALL, LA
NPI1316502982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  8197)
Enumeration Date2019-05-08
Last Update Date2022-04-01
Business Address
MICHAEL BAGLEY JOHNSTON
212 PANTHER DR
STONEWALL, LA 71078-9421
Phone number: 318-564-2171
Mailing Address
MICHAEL BAGLEY JOHNSTON
212 PANTHER DR
STONEWALL, LA 71078-9421
Phone number: 318-564-2171
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