Individual
TERAH NATHANIEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 OLYMPIA CIR APT 101, CHARLOTTESVILLE, VA 22911-3614
(434) 202-4080
Mailing address
4000 OLYMPIA CIR APT 101, CHARLOTTESVILLE, VA 22911-3614
(434) 202-4080
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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