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1902850563
JOE THOMAS JOHNSON
FREDERICKSBURG, VA
NPI
1902850563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904003387)
Enumeration Date
2006-05-19
Last Update Date
2007-07-08
Business Address
-- JOE THOMAS JOHNSON LCSW
12000 KENNEDY LN SUITE 100
FREDERICKSBURG, VA 22407-6016
Phone number: 540-741-7100
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Mailing Address
-- JOE THOMAS JOHNSON LCSW
12000 KENNEDY LN SUITE 100
FREDERICKSBURG, VA 22407-6016
Phone number: 540-741-7100
Copy
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