CONNIE M. JOHANSEN

FORT OGLETHORPE, GA
NPI1548339401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP001627)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
-- CONNIE M. JOHANSEN MSCCCSLP
2403 BATTLEFIELD PKWY
FORT OGLETHORPE, GA 30742-4033
Phone number: 706-866-7700
Mailing Address
-- CONNIE M. JOHANSEN MSCCCSLP
1119 GNOME TRL
LOOKOUT MTN, GA 30750-2811
Phone number: 706-820-7622
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