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1811438625
EBONY S JOHNSON
ANTIOCH, TN
NPI
1811438625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TN 3934)
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
EBONY S JOHNSON
5693 DEER VALLEY TRL
ANTIOCH, TN 37013-4261
Phone number: 615-513-6840
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Mailing Address
EBONY S JOHNSON
5693 DEER VALLEY TRL
ANTIOCH, TN 37013-4261
Phone number: 615-513-6840
Copy
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