Individual
JENNIFER EILEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
3221 32ND AVE S STE 700, GRAND FORKS, ND 58201-6075
(701) 335-4380
Mailing address
406 9TH ST NW, FOSSTON, MN 56542-1019
(218) 308-4647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31892
MN
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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