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Individual

DANIEL LOGAN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4100 PRICE CLUB BLVD, MIDLOTHIAN, VA 23112-3379
(804) 674-8888
Mailing address
1301 BAINBRIDGE ST, RICHMOND, VA 23224-2135
(540) 604-0071

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/11/2012
Last updated
12/11/2012
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