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Organization

JOE T. JOHNSON, LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOE THOMAS JOHNSON LCSW (SOLE PROPRIETOR)
(540) 809-1589
Entity
Organization

Contact information

Practice address
404 CHATHAM SQ PARK, SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2544
(540) 373-1200
(540) 373-1283
Mailing address
10323 EDINBURGH DR, SPOTSYLVANIA, VA 22553-1733
(540) 809-1589
(540) 741-3918

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003387
VA

Other

Enumeration date
04/22/2014
Last updated
04/22/2014
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