Search › Mississippi › 235Z00000X
Tracie Johnson, CCC-SLP
NPI 1992960306 · on the registry since 2008 · sole proprietor
Practice
- Address
- 6304 Koosa Dr
Marion, MS 39342 - Phone
- (205) 317-7757
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi