Individual
ASHLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 354-0932
Mailing address
5639 LOON DR, BIG LAKE, MN 55309-8984
(763) 354-0932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27536
MN
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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