Individual
HEATHER TRISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
932 EAST 34TH STREET, MINNEAPOLIS, MN 55407
(651) 204-8540
Mailing address
14224 43RD AVE N APT C, PLYMOUTH, MN 55446-3624
(651) 895-9986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23838
MN
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/07/2018
Last updated
07/15/2021
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