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1881127272
BROOKE JOHNSON
SAINT PAUL, MN
NPI
1881127272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304552)
Enumeration Date
2017-04-04
Last Update Date
2017-04-28
Business Address
-- BROOKE JOHNSON LADC
69 EXCHANGE ST W
SAINT PAUL, MN 55102-1004
Phone number: 651-232-4284
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Mailing Address
-- BROOKE JOHNSON LADC
5226 LAKEVIEW AVE
WHITE BEAR LAKE, MN 55110-7811
Phone number: 952-484-7100
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