Individual
DANIELLE LYNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A. CHW
Contact information
Practice address
15325 GRATIOT AVE, DETROIT, MI 48205-1328
(877) 544-6722
Mailing address
15325 GRATIOT AVE, DETROIT, MI 48205-1328
(877) 544-6722
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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