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1487227229
MATTHEW TYLER JOHNSON
EDEN PRAIRIE, MN
NPI
1487227229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 27484)
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
MATTHEW TYLER JOHNSON LICSW
800 PRAIRIE CENTER DR STE 210
EDEN PRAIRIE, MN 55344-7306
Phone number: 612-888-0544
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Mailing Address
MATTHEW TYLER JOHNSON LICSW
800 PRAIRIE CENTER DR STE 210
EDEN PRAIRIE, MN 55344-7306
Phone number: 612-888-0544
Copy
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