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1043078157
KELLY ANNE JOHNSON
GRAND RAPIDS, MI
NPI
1043078157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801115731)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
KELLY ANNE JOHNSON LMSW
233 FULTON ST E STE 222
GRAND RAPIDS, MI 49503-3262
Phone number: 616-490-3468
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Mailing Address
KELLY ANNE JOHNSON LMSW
930 WEALTHY ST SE APT B
GRAND RAPIDS, MI 49506-1589
Phone number: 616-690-3034
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