Individual
JEANIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1902 VALLEY PINE CIR, INTERNATIONAL FALLS, MN 56649-2179
(218) 283-3406
Mailing address
1902 VALLEY PINE CIR, INTERNATIONAL FALLS, MN 56649-2179
(218) 283-3406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30365
MN
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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