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1811415870
JANE JOHNSEN
VIRGINIA, MN
NPI
1811415870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304167)
Enumeration Date
2017-08-30
Last Update Date
2022-07-21
Business Address
JANE JOHNSEN LADC
505 12TH AVE WEST SUITE 1
VIRGINIA, MN 55792
Phone number: 218-749-2877
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Mailing Address
JANE JOHNSEN LADC
505 S 12TH AVE W STE 1
VIRGINIA, MN 55792-2001
Phone number: 218-749-2877
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