Individual
LATASHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 SULLA CT, CLINTON, MD 20735-3726
(202) 557-4627
Mailing address
5801 SULLA CT, CLINTON, MD 20735-3726
(202) 557-4627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0903002525
VA
104100000X
Social Worker
Primary
199985
MD
104100000X
Social Worker
LG50081467
DC
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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