Individual
MS. KAREN MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 CIMARRON, LAKE ELMO, MN 55042-9620
(612) 715-2486
Mailing address
322 CIMARRON, LAKE ELMO, MN 55042-9620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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