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Individual

JENNIFER JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1485 M 139, BENTON HARBOR, MI 49022-5711
(800) 336-0341
(269) 927-1326
Mailing address
1353 BISHOP AVE, BENTON HARBOR, MI 49022-5819
(480) 708-8426

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/04/2024
Last updated
04/04/2024
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