Individual
MRS. ABIGAIL SUZANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW
Contact information
Practice address
7751 BYRON CENTER AVE SW STE A, BYRON CENTER, MI 49315-8001
(616) 878-3321
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091629
MI
Other
Enumeration date
07/15/2020
Last updated
08/03/2020
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