Individual
DANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7015
Mailing address
PO BOX 650564, STERLING, VA 20165-0564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009128
VA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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