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1730760034
MICHAEL EUGENE JOHNSON
DETROIT, MI
NPI
1730760034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
MICHAEL EUGENE JOHNSON
1145 W GRAND BLVD
DETROIT, MI 48208-2336
Phone number: 313-818-9830
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Mailing Address
MICHAEL EUGENE JOHNSON
1145 W GRAND BLVD
DETROIT, MI 48208-2336
Phone number: 313-818-9830
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