Individual
DR. KATHLEEN ANNE JOHNSON DEBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6720
(651) 220-6707
Mailing address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6601
MN
Other
Enumeration date
10/10/2012
Last updated
07/21/2021
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