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1912184052
CAROL JOHNSON
MONROE, MI
NPI
1912184052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-30
Last Update Date
2008-01-30
Business Address
-- CAROL JOHNSON FAODP
14733 S TELEGRAPH RD
MONROE, MI 48161-9545
Phone number: 734-243-8707
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Mailing Address
-- CAROL JOHNSON FAODP
14733 S TELEGRAPH RD
MONROE, MI 48161-9545
Phone number: 734-243-8707
Copy
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