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Individual

MAGGIE FLORENCE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
38780 8TH AVE STE C, NORTH BRANCH, MN 55056-6696
(763) 227-7223
Mailing address
6453 375TH ST, NORTH BRANCH, MN 55056-5630
(651) 235-7740

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01126
MN

Other

Enumeration date
10/12/2018
Last updated
12/20/2018
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