Individual
KHALIL JAMAAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 780-5203
(410) 780-5205
Mailing address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 780-5203
(410) 780-5205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26535
MD
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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