LYDIA JOHNSON

SHREVEPORT, LA
NPI1760833628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  6422)
Enumeration Date2016-06-22
Last Update Date2016-11-15
Business Address
-- LYDIA JOHNSON
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 713-594-9726
Mailing Address
-- LYDIA JOHNSON
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 713-594-9726