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Kim Johnson, LP
NPI 1992862684 · on the registry since 2007
Practice
- Address
- 714 W College St
Duluth, MN 55811 - Phone
- (218) 728-7164
- Fax
- (218) 724-0251
- Organisation at this address
- Northwood Children'S Services
Northwood Children'S Home Society Inc
Northwood Children'S Home Society IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota