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1427715838
MAXINE JOHNSON
MINNEAPOLIS, MN
NPI
1427715838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-19
Last Update Date
2024-10-28
Business Address
MAXINE JOHNSON MA. LPCC
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405-1430
Phone number: 612-871-1454
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Mailing Address
MAXINE JOHNSON MA. LPCC
8641 QUEEN AVE S
BLOOMINGTON, MN 55431-1903
Phone number:
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