Individual
ALICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE STE 220, GRAND RAPIDS, MI 49546-5940
(616) 279-8311
Mailing address
3501 LAKE EASTBROOK BLVD SE STE 220, GRAND RAPIDS, MI 49546-5940
(616) 279-8311
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
03/19/2025
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