NPI 1023767753
Anna Marie Johanson, LICSW
Practice location
- Address
- 1400 Madison Ave STE 352, Mankato, MN 56001-4458
- Phone
- (507) 387-3195
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1023767753
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Mar 2022
- Record last updated
- 21 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.