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1265024780
JACALYN LARAE JOHNSON
ROCHESTER, MN
NPI
1265024780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 25018)
Enumeration Date
2021-02-05
Last Update Date
2024-01-10
Business Address
JACALYN LARAE JOHNSON LICSW
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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Mailing Address
JACALYN LARAE JOHNSON LICSW
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
Copy
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