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1619511102
ALICIA PAULINE JOHNSON
MINNEAPOLIS, MN
NPI
1619511102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304706)
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
ALICIA PAULINE JOHNSON LADC
1900 CHICAGO AVE
MINNEAPOLIS, MN 55404-1903
Phone number: 612-752-8567
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Mailing Address
ALICIA PAULINE JOHNSON LADC
1900 CHICAGO AVE
MINNEAPOLIS, MN 55404-1903
Phone number: 612-752-8567
Copy
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