Individual
IESHA MARIE JOHNSON-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5767 KIVERTON RIDGE DR SE, KENTWOOD, MI 49508-2325
(616) 633-9400
Mailing address
5767 KIVERTON RIDGE DR SE, KENTWOOD, MI 49508-2325
(616) 633-9400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851115987
MI
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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