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1588168512
NICHOLAS M JOHNSON
DETROIT, MI
NPI
1588168512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI N137904)
Enumeration Date
2018-03-23
Last Update Date
2018-03-23
Business Address
Mr. NICHOLAS M JOHNSON
1600 PORTER ST
DETROIT, MI 48216-1936
Phone number: 313-515-8561
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Mailing Address
Mr. NICHOLAS M JOHNSON
1600 PORTER ST
DETROIT, MI 48216-1936
Phone number: 313-515-8561
Copy
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