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Organization

JAN SEARCH MSW LICSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNETTE JOHNSTON (BILLING)
(952) 922-2888
Entity
Organization

Contact information

Practice address
6800 FRANCE AVE S, SUITE 560, EDINA, MN 55435-2007
(952) 922-2888
(763) 754-6809
Mailing address
6800 FRANCE AVE S, SUITE 560, EDINA, MN 55435-2007
(952) 922-2888
(763) 754-6809

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02586
MN

Other

Enumeration date
05/05/2009
Last updated
05/05/2009
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