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1225305931
KENNETH LORENZO JOHNSON
SOUTHGATE, MI
NPI
1225305931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6361001548)
Enumeration Date
2011-11-23
Last Update Date
2024-11-06
Business Address
Dr. KENNETH LORENZO JOHNSON MA, Ph.D., MLP
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
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Mailing Address
Dr. KENNETH LORENZO JOHNSON MA, Ph.D., MLP
7605 W 7 MILE RD
DETROIT, MI 48221-2163
Phone number:
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