Individual
JALESE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
19525 GREENWALD DR, SOUTHFIELD, MI 48075-3912
(248) 797-4110
Mailing address
16250 NORTHLAND DR, SOUTHFIELD, MI 48075-5205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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