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1346934072
KATHLEEN L JOHNSON
OTSEGO, MN
NPI
1346934072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302203)
Enumeration Date
2023-06-06
Last Update Date
2024-05-15
Business Address
KATHLEEN L JOHNSON BS, LADC, CBIS
10990 95TH ST NE
OTSEGO, MN 55362-8149
Phone number: 763-329-7195
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Mailing Address
KATHLEEN L JOHNSON BS, LADC, CBIS
500 MARSCHALL RD STE 300
SHAKOPEE, MN 55379-2690
Phone number: 952-856-3932
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