Individual
MS. STEPHANIE DIANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 558-2999
Mailing address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 668-0254
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
9768
MN
Other
Enumeration date
03/16/2026
Last updated
04/01/2026
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