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NPI Profile for HATTIE JOHNSON in SOUTHFIELD, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI # | 1790577179 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/21/2025 | |
| Last updated | 05/21/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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HATTIE JOHNSON