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Sharon Lynette Johnson

Speech-Language Pathologist, in Fort Worth, TX. Individual provider (NPI-1).

NPI number1124384201
StatusActive
Last updated in NPPESApr 3, 2012

Details

NPI
1124384201
Entity type
Individual (NPI-1)
Name
Sharon Lynette Johnson
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 3, 2012
Last updated
Apr 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,13611TXYes

Practice location

5316 Trail Lake Dr
Fort Worth, TX 76133-1931

Phone 817-292-8787 · Fax 817-789-6849

Mailing address

5316 Trail Lake Dr
Fort Worth, TX 76133-1931

Phone 817-292-8787 · Fax 817-789-6849

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