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1619273463
STACY JOHNSON
PASADENA, CA
NPI
1619273463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 18545)
Enumeration Date
2011-01-26
Last Update Date
2011-01-26
Business Address
-- STACY JOHNSON M,S., CCC-SLP
424 N LAKE AVE SUITE 302
PASADENA, CA 91101-1200
Phone number: 626-793-9444
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Mailing Address
-- STACY JOHNSON M,S., CCC-SLP
1159 LINDEN AVE APT 6
GLENDALE, CA 91201-1569
Phone number: 909-573-4982
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