Individual
DESIREE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
24209 NORTHWESTERN HWY, SUITE 258, SOUTHFIELD, MI 48075-2539
(313) 444-2164
Mailing address
25431 PEMBROKE AVE, REDFORD, MI 48240-1044
(313) 318-6255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096786
MI
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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