Individual
ALEXANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WILDWOOD AVE, JACKSON, MI 49201-1017
(517) 962-4815
Mailing address
700 WILDWOOD AVE, JACKSON, MI 49201-1017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019016732
MO
Other
Enumeration date
07/23/2019
Last updated
10/22/2019
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