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Individual

DR. JACQLYN DAWN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1350 CONNECTICUT AVE NW STE 612, WASHINGTON, DC 20036-1735
(202) 495-1581
Mailing address
1629 FRANCIS HAMMOND PKWY, ALEXANDRIA, VA 22302-3915
(202) 495-1581

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1001330
DC

Other

Enumeration date
12/28/2017
Last updated
12/28/2017
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