Individual
EHRIN LEIGH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4583 LANNON AVE, SAINT MICHAEL, MN 55376-4538
(763) 464-5087
Mailing address
4583 LANNON AVE, SAINT MICHAEL, MN 55376-4538
(763) 464-5087
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
389480
MN
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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