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Individual

JENNIFER ANN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA LP

Contact information

Practice address
5337 LOGAN AVE S, MINNEAPOLIS, MN 55419-1048
(612) 859-2976
Mailing address
5337 LOGAN AVE S, MINNEAPOLIS, MN 55419-1048
(612) 516-3519

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3231
MN

Other

Enumeration date
03/07/2022
Last updated
04/01/2026
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