Mallory Noel Johnson

NPI #1144944695 in Decatur, Illinois

Provider Information

NPI Number
1144944695
Entity Type
Individual
Name
Mallory Noel Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Sep 28, 2022
Last Updated
May 14, 2025

Practice Location

Address
335 E CERRO GORDO ST
ZIP Code
62523-1013
Phone
(217) 362-3055

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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