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1710152178
CLARENCE JOHNSON
CLEVELAND, MS
NPI
1710152178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S0851)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
Mr. CLARENCE JOHNSON CCC-SLP
1129 MORGAN ST.
CLEVELAND, MS 38732
Phone number: 662-398-7575
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Mailing Address
Mr. CLARENCE JOHNSON CCC-SLP
1129 MORGAN ST.
CLEVELAND, MS 38732
Phone number: 662-398-7575
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