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Individual

ANNA MARIE JOHANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1400 MADISON AVE STE 352, MANKATO, MN 56001-4458
(507) 387-3195
Mailing address
1400 MADISON AVE STE 352, MANKATO, MN 56001-4458
(507) 389-8502
(507) 625-3928

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15788
MN

Other

Enumeration date
03/21/2022
Last updated
03/21/2022
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