Individual
MICHELLE BAZIN-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
107 WOODLAND CT STE B, MICHIGAN CITY, IN 46360-7393
(219) 336-4866
Mailing address
107 WOODLAND CT STE B, MICHIGAN CITY, IN 46360-7393
(219) 336-4866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004393A
IN
Other
Enumeration date
08/25/2020
Last updated
11/03/2023
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