| Michelle Johnson | |
|
85 Crescent Ave Passaic NJ 07055-2437 | |
| (609) 556-3438 | |
| Not Available |
| Full Name | Michelle Johnson |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 85 Crescent Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Michelle Johnson (SOCIAL WORKER) |
| Authorized Official Contact | 6095563438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Johnson 85 Cresent Ave Passaic NJ 07055-2437 Ph: (609) 556-3438 | Michelle Johnson 85 Crescent Ave Passaic NJ 07055-2437 Ph: (609) 556-3438 |
| NPI Number | 1639839723 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639839723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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