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1033743091
BRUCE M JOHNSON
WESTLAND, MI
NPI
1033743091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
BRUCE M JOHNSON
32715 DORSEY ST
WESTLAND, MI 48186-4755
Phone number: 734-641-1141
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Mailing Address
BRUCE M JOHNSON
32715 DORSEY ST
WESTLAND, MI 48186-4755
Phone number: 734-641-1141
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