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1376936104
MELITA TRAVIS JOHNSON
GRAND RAPIDS, MI
NPI
1376936104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801063274)
Enumeration Date
2015-03-18
Last Update Date
2015-03-18
Business Address
Ms. MELITA TRAVIS JOHNSON LMSW, CCDP
770 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546-8602
Phone number: 616-481-9337
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Mailing Address
Ms. MELITA TRAVIS JOHNSON LMSW, CCDP
1130 ELMDALE ST NE
GRAND RAPIDS, MI 49525-2632
Phone number: 616-481-9337
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