Individual
CATHERINE ROSE JOHANNECK
Active
Individual
CATHERINE ROSE JOHANNECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W. L.I.C.S.W
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17989
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932470127
CAQH-UBH
MN
01
—
1932470127
MCC
—
05
—
1932470127
—
MN
Enumeration date
01/19/2012
Last updated
05/03/2018
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