KENNETH JOHNSON

SHOREVIEW, MN
NPI1578625893
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  495)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
-- KENNETH JOHNSON LICSW
3570 LEXINGTON AVE N
SHOREVIEW, MN 55126-8049
Phone number: 651-481-0664
Mailing Address
-- KENNETH JOHNSON LICSW
503 LAKEWOOD DR S
MAPLEWOOD, MN 55119-5522
Phone number: 651-481-0664
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