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1992196133
MARY LEE JOHNSON
WYOMING, MI
NPI
1992196133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802065598)
Enumeration Date
2015-02-10
Last Update Date
2015-02-10
Business Address
-- MARY LEE JOHNSON
3353 LOUSMA DR SE
WYOMING, MI 49548-2251
Phone number: 616-241-6258
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Mailing Address
-- MARY LEE JOHNSON
921 BLACKBURN ST SW
WYOMING, MI 49509-1933
Phone number: 616-245-9371
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