Individual
ABIGAIL D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 PLEASANT GROVE RD RM C8, LANSING, MI 48910-5097
(517) 749-7830
Mailing address
636 E WILLARD AVE, LANSING, MI 48910-3448
(517) 749-7830
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851111327
MI
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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