Jennifer Rebecca Stam-Johnson

NPI #1386363547 in Red Wing, Minnesota

Provider Information

NPI Number: 1386363547
Entity Type: Individual
Name: Jennifer Rebecca Stam-Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 23, 2022
Last Updated: Aug 23, 2022

Practice Location

Address: 4911 LEARNING LN
City: Red Wing
State: Minnesota
ZIP Code: 55066-4533
Phone: (651) 360-3202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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