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Individual

NORMA JUNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
510 4TH ST S, FARGO, ND 58103
(701) 476-7200
(701) 476-7261
Mailing address
510 4TH ST S, FARGO, ND 58103
(701) 476-7200
(701) 476-7261

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
501
ND

Other

Enumeration date
11/08/2007
Last updated
11/08/2007
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