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Organization

SHAWN JOHNSON, PH.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAWN JOHNSON PH.D. (OWNER)
(517) 347-4755
Entity
Organization

Contact information

Practice address
4111 OKEMOS RD STE 104, OKEMOS, MI 48864-3235
(517) 347-4755
Mailing address
4111 OKEMOS RD STE 104, OKEMOS, MI 48864-3235
(517) 347-4755

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006045
MI

Other

Enumeration date
07/08/2008
Last updated
07/08/2008
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