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Organization

AMBER PONE COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMBER JOHNSON PONE LICSW (CLINICAL SOCIAL WORKER, OWNER)
(512) 363-6365
Entity
Organization

Contact information

Practice address
1409 WILLOW ST STE 400, MINNEAPOLIS, MN 55403-3251
(512) 363-6365
Mailing address
7400 HALF MOON DR, GOLDEN VALLEY, MN 55427-4811
(512) 363-6365

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20877
MN

Other

Enumeration date
11/17/2017
Last updated
11/17/2017
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