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1790310886
LATRELL LATRESS JOHNSON
WAYNE, MI
NPI
1790310886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6802089266)
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
LATRELL LATRESS JOHNSON LLBSW
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 734-722-4091
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Mailing Address
LATRELL LATRESS JOHNSON LLBSW
26875 PARKSIDE DR
TAYLOR, MI 48180-7556
Phone number: 313-465-5307
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