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Individual
MRS. MIN KYOUNG PARK JOHNSON
Active
Individual
MRS. MIN KYOUNG PARK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
112895
NY
104100000X
Social Worker
44SL06663300
NJ
1041C0700X
Clinical Social Worker
100810
NY
1041C0700X
Clinical Social Worker
Primary
44SC06567100
NJ
Other
Enumeration date
10/24/2023
Last updated
10/14/2025
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