Individual
ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1142 LAFOND AVE, SAINT PAUL, MN 55104-2028
(612) 888-9065
Mailing address
1142 LAFOND AVE, SAINT PAUL, MN 55104-2028
(612) 888-9065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23625
MN
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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