MIA K JOHNSON

DETROIT, MI
NPI1720705841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2022-10-20
Last Update Date2023-11-28
Business Address
MIA K JOHNSON
6309 MACK AVE
DETROIT, MI 48207-2302
Phone number: 313-703-6168
Mailing Address
MIA K JOHNSON
6309 MACK AVE
DETROIT, MI 48207-2302
Phone number: 313-703-6168