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1588844898
STACY RYAN JOHNSON
EDEN PRAIRIE, MN
NPI
1588844898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 2290)
Enumeration Date
2007-11-05
Last Update Date
2024-04-25
Business Address
STACY RYAN JOHNSON B.S.
7527 MITCHELL ROAD 100
EDEN PRAIRIE, MN 55344
Phone number: 952-228-2282
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Mailing Address
STACY RYAN JOHNSON B.S.
2115 COUNTY ROAD D E SUITE B
MAPLEWOOD, MN 55109-5353
Phone number: 651-748-5019
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