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1417621640
JACQUETTA JOHNSON
SOUTHFIELD, MI
NPI
1417621640
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Former Name
JACQUETTA BASS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2021-08-02
Last Update Date
2021-08-02
Business Address
Mrs. JACQUETTA JOHNSON social worker
24463 W 10 MILE RD
SOUTHFIELD, MI 48033-2931
Phone number: 248-302-2201
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Mailing Address
Mrs. JACQUETTA JOHNSON social worker
24463 W 10 MILE RD
SOUTHFIELD, MI 48033-2931
Phone number: 248-302-2201
Copy
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