Individual
AMY J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1407 S STATE ST, NEW ULM, MN 56073
(507) 354-3181
(507) 354-3183
Mailing address
1407 S STATE ST, NEW ULM, MN 56073
(507) 354-3181
(507) 354-3183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17581
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382G9J0
BCBS
—
01
—
6269691
MEDICA UBH
—
01
—
943071045379
PREFERRED ONE
—
Enumeration date
09/06/2006
Last updated
07/08/2007
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