Individual
LOUISE TOMAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15001 GREENHAVEN DR APT 233, BURNSVILLE, MN 55306-6177
(612) 391-4190
Mailing address
15001 GREENHAVEN DR APT 233, BURNSVILLE, MN 55306-6177
(612) 391-4190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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