Individual
MR. CHAD ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
901 W. MEMORIAL DR., HOUGHTON, MI 49931
(904) 482-9400
(906) 483-0269
Mailing address
901 W. MEMORIAL DR., HOUGHTON, MI 49931
(904) 482-9400
(906) 483-0269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802082714
MI
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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