Individual
MR. KIM DIXON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
714 W COLLEGE ST, DULUTH, MN 55811-4906
(218) 728-7164
(218) 724-0251
Mailing address
2115 APPALACHIAN ST, DULUTH, MN 55811-3121
(218) 624-3697
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 3401
MN
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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