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1497023832
DIANNA LEE JOHNSON
TRAVERSE CITY, MI
NPI
1497023832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801094808)
Enumeration Date
2011-12-13
Last Update Date
2020-01-02
Business Address
DIANNA LEE JOHNSON LMSW
3180 RACQUET CLUB DR STE G
TRAVERSE CITY, MI 49684-4797
Phone number: 231-933-4009
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Mailing Address
DIANNA LEE JOHNSON LMSW
10656 S TIMBERLEE DR
TRAVERSE CITY, MI 49684-8427
Phone number: 231-883-3085
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