Individual
MRS. MICHELLE CHRISTINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
8646 EAGLE CREEK CIR, SAVAGE, MN 55378-1570
(952) 583-1055
Mailing address
16786 JOPLIN WAY, LAKEVILLE, MN 55044-5683
(952) 836-7776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27037
MN
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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