Individual
AMANDA C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CLA, CHW
Contact information
Practice address
15002 ASHTON RD, DETROIT, MI 48223-2349
(313) 915-7633
Mailing address
15002 ASHTON RD, DETROIT, MI 48223-2349
(313) 915-7633
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
342
MI
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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