Individual
JENETTA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW-CLINICAL
Contact information
Practice address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1242
(248) 706-3450
Mailing address
201 N SQUIRREL RD APT 911, AUBURN HILLS, MI 48326-4024
(248) 935-6083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801104814
MI
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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