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Individual
PATRICK DOYLE JOHNSON
Active
Individual
PATRICK DOYLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
31334
MN
133V00000X
Registered Dietitian
4046
MN
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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