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1215430541
KATHRYN ALICIA JOHNSON
WALDORF, MD
NPI
1215430541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC2456)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
Mrs. KATHRYN ALICIA JOHNSON BS, CAC-AD
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602-2751
Phone number: 301-818-0030
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Mailing Address
Mrs. KATHRYN ALICIA JOHNSON BS, CAC-AD
21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD 20602-2751
Phone number: 301-818-0030
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