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1407526924
DESIREE ANN MONTONYE JOHNSON
BRAINERD, MN
NPI
1407526924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305960)
Enumeration Date
2021-09-16
Last Update Date
2022-11-14
Business Address
DESIREE ANN MONTONYE JOHNSON LADC
823 MAPLE ST
BRAINERD, MN 56401-3770
Phone number: 612-432-8670
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Mailing Address
DESIREE ANN MONTONYE JOHNSON LADC
823 MAPLE ST
BRAINERD, MN 56401-3770
Phone number: 612-432-8670
Copy
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