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1740375740
JODY REIS-JOHNSON
EAGAN, MN
NPI
1740375740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 06627)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- JODY REIS-JOHNSON M.Div.,MSW, LICSW
3450 OLEARY LN
EAGAN, MN 55123-2340
Phone number: 651-454-0114
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Mailing Address
-- JODY REIS-JOHNSON M.Div.,MSW, LICSW
441 JUNIPER CT
MAHTOMEDI, MN 55115-1558
Phone number:
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