Individual
LATEASHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 VIRGINIA AVE NW STE 900, WASHINGTON, DC 20037-1930
(415) 399-1556
Mailing address
2035 S ANVIL LN, TEMPLE HILLS, MD 20748-4286
(443) 518-8546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
10/30/2023
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