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1912564477
SUSAN JOHNSON
KALAMAZOO, MI
NPI
1912564477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801104403)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
SUSAN JOHNSON
2615 STADIUM DR
KALAMAZOO, MI 49008-1654
Phone number: 269-330-6124
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Mailing Address
SUSAN JOHNSON
2615 STADIUM DR
KALAMAZOO, MI 49008-1654
Phone number: 269-330-6124
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