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1144864596
JAN MARIE JOHNSON
RICHFIELD, MN
NPI
1144864596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 4149)
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
JAN MARIE JOHNSON LICSW
6625 LYNDALE AVE S STE 500
RICHFIELD, MN 55423-2691
Phone number: 612-886-3706
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Mailing Address
JAN MARIE JOHNSON LICSW
6335 SHERIDAN AVE S
RICHFIELD, MN 55423-1009
Phone number: 612-799-7247
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