BIBIAN CAROL WISDOM -JOHNSON

MCDONOUGH, GA
NPI1588797054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP001995)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- BIBIAN CAROL WISDOM -JOHNSON SLP
255 RACETRACK RD SUITE 12
MCDONOUGH, GA 30252-6834
Phone number: 404-663-1867
Mailing Address
-- BIBIAN CAROL WISDOM -JOHNSON SLP
PO BOX 2155
MCDONOUGH, GA 30253-1730
Phone number: 404-663-1867