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1740864768
MELANIE JOHNSON
OTSEGO, MN
NPI
1740864768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
MELANIE JOHNSON
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330-0168
Phone number: 763-308-8619
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Mailing Address
MELANIE JOHNSON
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number: 651-379-1704
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