Most Relevant Information
Provider Data
| NPI Number: | 1003409822 |
| Provider Name: | RACHEL JOHNSON LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801113715 |
Most Important Dates
| Enumeration Date: | 02/12/2021 |
| Last Updated: | 12/30/2021 |
Provider Practice Location
8240 EMBURY RD
GRAND BLANC
MI
484397113
Practice Location Phone/Fax
| Phone: | 8107772000 |
| Fax: |
Provider Mailing Location
2389 GOLFVIEW CIR
FENTON
MI
484309629
Provider Mailing Phone/Fax
| Phone: | 8108778222 |
| Fax: |