Dwayne Anthony Johnson Jr.
Dwayne Anthony Johnson Jr. is a Social Worker in Grand Rapids, Michigan. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1115 Ball Ave NE Bldg AGrand Rapids, MI 49505-5904
Phone: (616) 456-7775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1366923658 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 24, 2018 |
| Last updated in NPPES | August 24, 2018 |
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