Individual
KHALIA AHQUEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3121 DUPUY RD, SOUTH CHESTERFIELD, VA 23803-1655
(804) 894-2042
Mailing address
3121 DUPUY RD, SOUTH CHESTERFIELD, VA 23803-1655
(804) 894-2042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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