Individual
MR. JOHNNY PATRICK DOTSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4716 TOWNE PARK RD, SUITLAND, MD 20746-1607
(803) 269-2468
Mailing address
4716 TOWNE PARK RD, SUITLAND, MD 20746-1607
(803) 269-2468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
67963
TX
1041C0700X
Clinical Social Worker
Primary
C014188
NC
Other
Enumeration date
06/13/2019
Last updated
01/16/2025
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