Individual
CYNTHIA L JOHNIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(586) 627-0024
(586) 627-0027
Mailing address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(586) 627-0024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802083065
MI
Other
Enumeration date
03/07/2016
Last updated
03/06/2019
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