JACALYN LARAE JOHNSON

ROCHESTER, MN
NPI1265024780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  25018)
Enumeration Date2021-02-05
Last Update Date2025-02-14
Business Address
JACALYN LARAE JOHNSON LICSW
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
Mailing Address
JACALYN LARAE JOHNSON LICSW
PO BOX 860912 PROVIDER ENROLLMENT - RST
MINNEAPOLIS, MN 55486-0912
Phone number: 507-284-2511
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