Individual
MS. AMBER JOHNSON PONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
212 RIDGEWOOD AVE, MINNEAPOLIS, MN 55403-3507
(512) 363-6365
Mailing address
212 RIDGEWOOD AVE, MINNEAPOLIS, MN 55403-3507
(512) 363-6365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20877
MN
Other
Enumeration date
10/17/2011
Last updated
11/01/2012
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