Individual
CAITLIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2558 RICE ST., LITTLE CANADA, MN 55113
(651) 491-4400
(651) 389-0559
Mailing address
1462 HAZEL ST. N, SAINT PAUL, MN 55119
(651) 491-4400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23591
MN
Other
Enumeration date
04/11/2016
Last updated
08/03/2018
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