Madora Mckinney Johnson SLP

NPI 1619151735 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1619151735
Gender Female
Enumeration Date 12/26/2007
Last Updated 12/26/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
1901 MISSION 66
SUITE A
VICKSBURG MS, 39180-3711, US
Phone (601) 638-4076
Fax (601) 883-2232
Business Location
PO BOX 822394
VICKSBURG MS, 39182-2394, US
Phone (601) 638-4076
Fax (601) 883-2232
Toxanomy
Taxonomy Code 235Z00000X
License State Mississippi
License Number S3182
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According to our database, Madora Mckinney Johnson SLP NPI is 1619151735, taxonomy code is 235Z00000X and license number is S3182, license state is located at Mississippi. Madora Mckinney Johnson SLP physically located at 1901 Mission 66, Vicksburg MS, 39180-3711. NPI Number Madora Mckinney Johnson SLP has the Individual type.

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1619151735 NPI number is provided on an as is basis without warranty of any kind. 1619151735 is maintained by the National Plan & Provider Enumeration System. The contents of Madora Mckinney Johnson SLP are for informational purposes only.