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Individual

ERICA BEATRICE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
26677 W 12 MILE RD STE 115, SOUTHFIELD, MI 48034-1514
(248) 259-5733
Mailing address
PO BOX 5253, WARREN, MI 48090-5253
(810) 333-9818

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
822974
MI

Other

Enumeration date
05/01/2025
Last updated
05/01/2025
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