Individual
AMBER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
5303 S CEDAR ST, LANSING, MI 48911-3800
(517) 887-4305
(517) 887-4440
Mailing address
PO BOX 30161, LANSING, MI 48909-7661
(517) 702-3500
(517) 484-5169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801103894
MI
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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