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Individual

MR. NICHOLAS ANDERS JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MT-BC, NMT

Contact information

Practice address
1128 LASALLE AVE, MINNEAPOLIS, MN 55403-2027
(612) 321-0100
Mailing address
705 SMITH AVE S, SAINT PAUL, MN 55107-2623
(651) 797-3733

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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