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1720628381
MALAYSHA JOHNSON
CLARKSTON, MI
NPI
1720628381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6851115492)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-01-12
Last Update Date
2024-09-30
Business Address
MALAYSHA JOHNSON
6548 TOWN CENTER DR STE D
CLARKSTON, MI 48346-4823
Phone number: 800-693-1916
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Mailing Address
MALAYSHA JOHNSON
1903 N MAIN ST APT 101
ROYAL OAK, MI 48073-4140
Phone number:
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