Individual
AMANDA ANN-KOSNIK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MULHOLLAND ST, BAY CITY, MI 48708
(989) 895-2300
Mailing address
201 MULHOLLAND ST, BAY CITY, MI 48708-7693
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801098070
MI
Other
Enumeration date
09/09/2015
Last updated
08/15/2018
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