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1710473848
ALYSSA NICOLE JOHNSON
RUTLAND, VT
NPI
1710473848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VT 144.0134106-PROV)
Enumeration Date
2018-07-01
Last Update Date
2018-07-01
Business Address
ALYSSA NICOLE JOHNSON CFY-SLP
46 NICHOLS ST
RUTLAND, VT 05701-3275
Phone number: 802-773-2196
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Mailing Address
ALYSSA NICOLE JOHNSON CFY-SLP
49 MAIN ST APT 2G
FAIR HAVEN, VT 05743-1281
Phone number: 203-556-6073
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