Individual
DONNA F JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LP
Contact information
Practice address
1900 CENTRACARE CIRCLE, CENTRACARE HEALTH PLAZA, ST CLOUD, MN 56303
(320) 229-4918
(320) 229-5177
Mailing address
1406 6TH AVE N, ST CLOUD, MN 56303
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3725
MN
Other
Enumeration date
11/07/2006
Last updated
01/10/2008
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