MIA JOHNSON

Social Worker - Clinical

Active Individual
NPI: 1720705841

Practice Address

6309 MACK AVE
Detroit, MI 48207

Phone: (313) 703-6168

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X No -
Social Worker - Clinical 1041C0700X Yes -

Frequently Asked Questions

NPI 1720705841 is the National Provider Identifier for MIA JOHNSON, a Social Worker - Clinical provider located in Detroit, MI. This NPI was enumerated on October 20, 2022.
MIA JOHNSON practices at 6309 MACK AVE, Detroit, MI 48207.

Quick Facts

NPI
1720705841
Type
Individual
Enumerated
Oct 20, 2022
Last Updated
Nov 28, 2023

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