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Lynne Ellen Johnson, MS LP

Psychologist in Brainerd, MN. Individual provider (NPI-1).

NPI number1841383643
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1841383643
Entity type
Individual (NPI-1)
Name
Ms. Lynne Ellen Johnson
Credential
MS LP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistLP2864MNYes

Practice location

523 N 3rd St
Brainerd, MN 56401-3054

Phone 218-828-7379 · Fax 218-828-7390

Mailing address

4068 Green Gables Rd
Brainerd, MN 56401-7946

Phone 218-829-6687 · Fax 218-829-9555

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