Individual
CHAUNTA TAKEIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8540
(202) 610-7147
Mailing address
504 62ND AVE APT C, FAIRMOUNT HEIGHTS, MD 20743-1613
(202) 321-7247
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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