Individual
MARISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
715 DELMORE DR, ROSEAU, MN 56751-1599
(218) 463-2500
Mailing address
715 DELMORE DR, ROSEAU, MN 56751-1599
(218) 463-2500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31021
MN
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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