Individual
CAROLYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18400 SCHAEFER HWY, DETROIT, MI 48235-1754
(313) 277-9829
Mailing address
19150 DORSET ST, SOUTHFIELD, MI 48075-4188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088262
MI
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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