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1013434299
SAMUEL JOHNSON
ROSEVILLE, MN
NPI
1013434299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 29698)
Enumeration Date
2017-08-28
Last Update Date
2022-02-23
Business Address
SAMUEL JOHNSON
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113-1879
Phone number: 651-364-9381
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Mailing Address
SAMUEL JOHNSON
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113-1879
Phone number:
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