Individual
JACI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
225 SMITH AVE N, SUITE 201, SAINT PAUL, MN 55102-2534
(651) 241-5290
(651) 241-5140
Mailing address
225 SMITH AVE N, SUITE 201, SAINT PAUL, MN 55102-2534
(651) 241-5290
(651) 241-5140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15348
MN
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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