Individual
LAURA J. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
410 E 48TH ST STE 2, MINNEAPOLIS, MN 55419
(612) 747-1325
Mailing address
5047 30TH AVE S, MINNEAPOLIS, MN 55417-1309
(612) 747-1325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19191
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100263198
—
MN
Enumeration date
01/20/2010
Last updated
05/15/2018
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