Individual
MICAIAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39555 ORCHARD HILL PL STE 600, NOVI, MI 48375-5381
(248) 379-5690
Mailing address
437 DEWEY ST, ROYAL OAK, MI 48067-1381
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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