SAMUEL JOHNSON

ROSEVILLE, MN
NPI1013434299
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  29698)
Enumeration Date2017-08-28
Last Update Date2022-02-23
Business Address
SAMUEL JOHNSON
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113-1879
Phone number: 651-364-9381
Mailing Address
SAMUEL JOHNSON
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113-1879
Phone number: