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Individual

EMILY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
412 DEMERS AVE, GRAND FORKS, ND 58201-4508
(701) 330-3810
Mailing address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5374
ND

Other

Enumeration date
09/26/2018
Last updated
02/15/2019
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