Individual
JULIE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LICSW
Contact information
Practice address
7251 EXCELSIOR RD, BAXTER, MN 56425-8477
(218) 454-0878
(218) 454-0879
Mailing address
PO BOX 2506, BAXTER, MN 56425-2506
(218) 454-0878
(218) 454-0879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12568
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
456385900
—
MN
Enumeration date
07/17/2006
Last updated
12/23/2021
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