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Individual

CHRISTOPHER DAVID JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
11350 RANDOM HILLS RD, STE 800, FAIRFAX, VA 22030-6044
(910) 320-3390
Mailing address
4289 WHEELED CAISSON SQ, FAIRFAX, VA 22033-4254
(910) 320-3390

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010856
VA

Other

Enumeration date
01/14/2013
Last updated
01/28/2019
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