BRENTLEE JOHNSON

CARTERVILLE, IL
NPI1831662055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AR  200968)
Enumeration Date2019-01-10
Last Update Date2021-09-23
Business Address
BRENTLEE JOHNSON SLP
1106 FALCON CT
CARTERVILLE, IL 62918-1771
Phone number: 870-926-4319
Mailing Address
BRENTLEE JOHNSON SLP
1106 FALCON CT
CARTERVILLE, IL 62918-1771
Phone number: 870-926-4319
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