Shawndell Kay Johnson

NPI #1477376341 in Bridgeport, West Virginia

Provider Information

NPI Number
1477376341
Entity Type
Individual
Name
Shawndell Kay Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Nov 7, 2024
Last Updated
Nov 7, 2024

Practice Location

Address
2820 HINKLE LAKE RD
ZIP Code
26330-6783
Phone
(304) 476-8582

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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