Individual
BRONWYN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CTP
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
22512 LANGE ST, SAINT CLAIR SHORES, MI 48080-2874
(410) 207-9443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801096197
MI
Other
Enumeration date
10/13/2017
Last updated
11/14/2017
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