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1992164289
JUANITA JOHNSON
DETROIT, MI
NPI
1992164289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-16
Last Update Date
2016-02-16
Business Address
-- JUANITA JOHNSON
13336-40 E. WARREN AVE
DETROIT, MI 48215
Phone number: 313-822-6940
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Mailing Address
-- JUANITA JOHNSON
13336-40 E. WARREN AVE
DETROIT, MI 48215
Phone number: 313-822-6940
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