Jan Marie Johnson, LICSW

NPI #1144864596 in Richfield, Minnesota

Provider Information

NPI Number
1144864596
Entity Type
Individual
Name
Jan Marie Johnson, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Oct 29, 2019
Last Updated
Oct 29, 2019

Practice Location

Address
6625 LYNDALE AVE S STE 500
ZIP Code
55423-2691
Phone
(612) 886-3706

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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