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1013441757
TODD JOHNSON
GRAND RAPIDS, MI
NPI
1013441757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-19
Last Update Date
2017-04-19
Business Address
-- TODD JOHNSON
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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Mailing Address
-- TODD JOHNSON
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number:
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