Individual
BRIANNE CAMILLA JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 COURT AVE S, SANDSTONE, MN 55072-5120
(320) 245-2211
Mailing address
109 COURT AVE S, SANDSTONE, MN 55072-5120
(320) 245-2211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7745
MN
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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