Individual
KARIE LYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079346
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019476800
—
DC
Enumeration date
04/12/2012
Last updated
08/20/2020
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