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Individual

ANGELA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
3596 LINDEN AVE, WHITE BEAR LAKE, MN 55110-4693
(651) 243-2484
Mailing address
3596 LINDEN AVE, WHITE BEAR LAKE, MN 55110-4693

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4110
MN

Other

Enumeration date
06/29/2022
Last updated
06/29/2022
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