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1376295436
IVY JOHNSON
SAINT PAUL, MN
NPI
1376295436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 28148)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
IVY JOHNSON LICSW
408 SAINT PETER ST STE 429
SAINT PAUL, MN 55102-1119
Phone number: 651-224-0614
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Mailing Address
IVY JOHNSON LICSW
408 SAINT PETER ST STE 429
SAINT PAUL, MN 55102-1119
Phone number: 651-224-0614
Copy
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