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1205348505
JANELL RUTH JOHNSON
MAPLE GROVE, MN
NPI
1205348505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-27
Last Update Date
2017-10-27
Business Address
JANELL RUTH JOHNSON
13700 83RD WAY N STE 201
MAPLE GROVE, MN 55369-7015
Phone number: 763-400-7475
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Mailing Address
JANELL RUTH JOHNSON
4206 GOLDENROD LN N
PLYMOUTH, MN 55441-1241
Phone number:
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