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1124508270
KYLE JOHNSON
RESTON, VA
NPI
1124508270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810005813)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
Dr. KYLE JOHNSON Ph.D., NCSP
11307 SUNSET HILLS RD STE B4
RESTON, VA 20190-5279
Phone number: 410-914-7795
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Mailing Address
Dr. KYLE JOHNSON Ph.D., NCSP
1815 WATCH HOUSE CIR S
SEVERN, MD 21144-5015
Phone number: 205-999-1726
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