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1578068896
CHANNELL LORAINE JOHNSON
DETROIT, MI
NPI
1578068896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
CHANNELL LORAINE JOHNSON LLMSW
751 E GRAND BLVD
DETROIT, MI 48207-2529
Phone number: 313-922-2222
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Mailing Address
CHANNELL LORAINE JOHNSON LLMSW
751 E GRAND BLVD
DETROIT, MI 48207-2529
Phone number: 313-922-2222
Copy
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