Individual
PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9001 E BLOOMINGTON FWY, BLOOMINGTON, MN 55420-3435
(952) 777-4996
Mailing address
9001 E BLOOMINGTON FWY, BLOOMINGTON, MN 55420-3435
(763) 522-0100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24901
MN
Other
Enumeration date
04/29/2016
Last updated
11/09/2017
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