Individual
MRS. CANDACE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW ACSW CTS
Contact information
Practice address
402 THORNTON ST, MIDDLEVILLE, MI 49333-0339
(269) 795-2243
(269) 795-5315
Mailing address
PO BOX 339, 402 THORNTON ST, MIDDLEVILLE, MI 49333-0339
(269) 795-2243
(269) 795-5315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801082216
MI
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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