Individual
CYNTHIA IRENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
7015 258TH ST, WYOMING, MN 55092-8305
(651) 491-1311
Mailing address
7015 258TH ST, WYOMING, MN 55092-8305
(651) 491-1311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20399
MN
Other
Enumeration date
06/13/2014
Last updated
11/18/2016
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