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Individual

CLAIRE MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
2491 FLETCHER DR NE, GRAND RAPIDS, MI 49506-1217

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3747P1801X
Personal Care Attendant
MI

Other

Enumeration date
08/11/2021
Last updated
08/01/2024
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