Latrell Latress Johnson, LLBSW

NPI #1790310886 in Wayne, Michigan

Provider Information

NPI Number
1790310886
Entity Type
Individual
Name
Latrell Latress Johnson, LLBSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Credential
LLBSW
Enumeration Date
Mar 9, 2020
Last Updated
Mar 9, 2020

Practice Location

Address
35425 W MICHIGAN AVE
City
Wayne
ZIP Code
48184-9800
Phone
(734) 722-4091

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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