Individual
CAITLIN LIAN XI-LE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 E FERRY ST, DETROIT, MI 48202-3802
(734) 785-7705
Mailing address
11380 SHILLING DR, STERLING HEIGHTS, MI 48314-3553
(586) 419-1276
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010102
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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