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1912370024
DIANE JOHNSON
HIGHLAND PARK, MI
NPI
1912370024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
-- DIANE JOHNSON Masters of Science
245 PITKIN ST
HIGHLAND PARK, MI 48203-3737
Phone number: 313-865-1500
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Mailing Address
-- DIANE JOHNSON Masters of Science
29327 DEBBIE DR
CHESTERFIELD, MI 48051-3920
Phone number: 619-930-0413
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