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1225145600
CHARLES NICKELL JOHNSTON
SAINT CLOUD, MN
NPI
1225145600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 09087)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
Dr. CHARLES NICKELL JOHNSTON MSSW,Ph.D
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-255-6320
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Mailing Address
Dr. CHARLES NICKELL JOHNSTON MSSW,Ph.D
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number:
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