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1326101536
MARY JO JOHNSON
CANTON, MI
NPI
1326101536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801079735)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
Mrs. MARY JO JOHNSON LMSW
6223 N CANTON CENTER RD SUITE 210
CANTON, MI 48187-2696
Phone number: 734-737-1200
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Mailing Address
Mrs. MARY JO JOHNSON LMSW
48658 STONERIDGE DR
NORTHVILLE, MI 48168-8675
Phone number: 248-924-2056
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