Individual
JILL NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305
(952) 939-0396
(952) 548-8760
Mailing address
3395 PLYMOUTH RD., MINNETONKA, MN 55305
(952) 939-0396
(952) 548-8760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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