Individual
EMMA GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(612) 284-2870
(612) 223-8899
Mailing address
5544 27TH AVE S, MINNEAPOLIS, MN 55417-1934
(414) 326-8852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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