Organization
STEPHANIE A JOHNSON
Active
Other names
Stephanie Johnson Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JOHNSON (OWNER)
(651) 354-1443
Entity
Organization
Contact information
Practice address
3550 LEXINGTON AVE N STE 207, SHOREVIEW, MN 55126-8136
(651) 354-1443
Mailing address
3550 LEXINGTON AVE N STE 207, SHOREVIEW, MN 55126-8136
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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