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Dwayne Anthony Johnson JR.
Social Worker in Grand Rapids, Michigan
NPI 1366923658

Dwayne Anthony Johnson JR. is a Social Worker based in Grand Rapids, MI. Dwayne Anthony Johnson JR. practices in Grand Rapids, MI. The NPI Number for Dwayne Anthony Johnson JR. is 1366923658 and holds a License No. (Michigan).

The current practice location address for Dwayne Anthony Johnson JR. is 1115 Ball Ave Ne Bldg A, Grand Rapids, MI and can be reached out via phone at 616-456-7775.

Location: 1115 Ball Ave Ne Bldg A, Grand Rapids, MI, 49505-5904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366923658
Provider Name
Dwayne Anthony Johnson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1115 Ball Ave Ne Bldg A, Grand Rapids, MI, 49505-5904
Phone Number
616-456-7775
Fax Number
Provider Enumeration Date
08/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J525157067197 01 MI DRIVERS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1115 Ball Ave Ne Bldg A
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-456-7775
Fax Number
person
Provider Business Mailing Address Details
Address
1115 Ball Ave Ne Bldg A
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-456-7775
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
()
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
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