Donna M Johnson, MSW
Social Worker, Clinical in Taylor, MI. Individual provider (NPI-1).
NPI number1164058228
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1164058228
- Entity type
- Individual (NPI-1)
- Name
- Donna M Johnson
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2020
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801106202 | MI | Yes |
Practice location
25350 Eureka RdTaylor, MI 48180-5050
Phone 313-307-0088 · Fax 313-307-0088
Mailing address
19445 W Warren AveDetroit, MI 48228-3361
Phone 313-307-0088 · Fax 313-281-2235
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