Individual
WINDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1121 JACKSON ST NE, SUITE 105, MINNEAPOLIS, MN 55413-1672
(612) 236-1718
(612) 236-1701
Mailing address
1121 JACKSON ST NE, SUITE 105, MINNEAPOLIS, MN 55413-1672
(612) 236-1718
(612) 236-1701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14462
MN
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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