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Individual

MRS. KRISTEN SUE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LMFT

Contact information

Practice address
1449 CLEVELAND AVE N, SAINT PAUL, MN 55108-1413
(651) 645-5323
(651) 328-8254
Mailing address
1449 CLEVELAND AVE N, SAINT PAUL, MN 55108-1413
(651) 645-5323
(651) 328-8254

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2085
MN

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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