KENNETH JOHNSON, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1578625893
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 495 (MN) |
Frequently Asked Questions
NPI 1578625893 is the National Provider Identifier for KENNETH JOHNSON, LICSW, a Social Worker - Clinical provider located in Shoreview, MN. This NPI was enumerated on December 14, 2006.
KENNETH JOHNSON, LICSW practices at 3570 LEXINGTON AVE N, Shoreview, MN 55126.
Quick Facts
- NPI
- 1578625893
- Type
- Individual
- Enumerated
- Dec 14, 2006
- Last Updated
- Jul 8, 2007
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