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1548004831
JOHNNY ANDERSON
PORTAGE, MI
NPI
1548004831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6851112863)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
Mr. JOHNNY ANDERSON LLMSW
10032 SHAVER RD
PORTAGE, MI 49024-6738
Phone number: 269-543-7776
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Mailing Address
Mr. JOHNNY ANDERSON LLMSW
2206 BENDER RD
PORTAGE, MI 49002-1504
Phone number: 269-543-7776
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