Individual
ARMENTHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801097755
MI
1041C0700X
Clinical Social Worker
Primary
6801108669
MI
Other
Enumeration date
10/12/2016
Last updated
04/22/2021
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