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Individual

DR. SHARA L. JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
19511 GREENFIELD RD, DETROIT, MI 48235-2016
(313) 643-1962
Mailing address
PO BOX 4237, SOUTHFIELD, MI 48037-4237
(313) 643-1962

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006519
MI

Other

Enumeration date
04/23/2013
Last updated
04/23/2013
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