KENNETH MAURICE JOHNSON

FAIRFAX, VA
NPI1588375216
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904013452)
Enumeration Date2022-12-13
Last Update Date2022-12-13
Business Address
KENNETH MAURICE JOHNSON
3911 OLD LEE HWY STE 43B
FAIRFAX, VA 22030-2434
Phone number: 301-523-7843
Mailing Address
KENNETH MAURICE JOHNSON
3911 OLD LEE HWY STE 43B
FAIRFAX, VA 22030-2434
Phone number:
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