Organization
COXALLAH ENRICHMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DASHERLINE COX JOHNSON (LICENSED PSYCHOLOGIST)
(651) 434-9186
Entity
Organization
Contact information
Practice address
6043 HUDSON RD STE 355, WOODBURY, MN 55125-1017
(651) 434-9186
Mailing address
6043 HUDSON RD STE 355, WOODBURY, MN 55125-1017
(651) 434-9186
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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