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Aleta Johnson

Speech-Language Pathologist, in Saint Marys, GA. Individual provider (NPI-1).

NPI number1841746914
StatusActive
Last updated in NPPESAug 29, 2016

Details

NPI
1841746914
Entity type
Individual (NPI-1)
Name
Aleta Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 29, 2016
Last updated
Aug 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,–GAYes

Practice location

69 Lindsey Ln Ste A
Saint Marys, GA 31558-1702

Phone 912-729-2294

Mailing address

101 Lake Manor Dr
Kingsland, GA 31548-6275

Phone 912-729-1114

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