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Individual

AMANDA MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
721 COMMERCE DR, WOODBURY, MN 55125
(763) 923-1717
Mailing address
721 COMMERCE DR, WOODBURY, MN 55125
(763) 923-1717

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/15/2017
Last updated
02/08/2019
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