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1992960306
TRACIE LYNN JOHNSON
MARION, MS
NPI
1992960306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S3156)
Enumeration Date
2008-07-24
Last Update Date
2008-07-24
Business Address
Mrs. TRACIE LYNN JOHNSON CCC-SLP
6304 KOOSA DR
MARION, MS 39342-9458
Phone number: 205-317-7757
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Mailing Address
Mrs. TRACIE LYNN JOHNSON CCC-SLP
6304 KOOSA DR
MARION, MS 39342-9458
Phone number: 205-317-7757
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