Individual
MS. JOANNA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4826 CHICAGO AVE STE 105, MINNEAPOLIS, MN 55417-1055
(612) 827-3028
Mailing address
4826 CHICAGO AVE STE 105, MINNEAPOLIS, MN 55417-1055
(612) 827-3028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15968
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15968
COMMERCIAL INSURANCES
MN
05
—
15968
—
MN
Enumeration date
09/21/2019
Last updated
07/03/2020
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