Individual
LAUREL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CHES
Contact information
Practice address
7800 W OUTER DR STE 203, DETROIT, MI 48235-3459
(313) 259-1574
Mailing address
7800 W OUTER DR STE 203, DETROIT, MI 48235-3459
(313) 259-1574
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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