Individual
ANGELA JOHNSON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
24915 THORNDYKE ST, SOUTHFIELD, MI 48033-2957
(248) 933-0473
Mailing address
24915 THORNDYKE ST, SOUTHFIELD, MI 48033-2957
(248) 933-0473
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801060996
MI
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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