Individual
KAREN E DEANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
480 W 78TH ST, SUITE 101A, CHANHASSEN, MN 55317-4527
(952) 212-0518
Mailing address
124 CARVER SQ, WACONIA, MN 55387-9686
(952) 442-1289
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
233
MN
Other
Enumeration date
09/26/2006
Last updated
10/03/2016
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