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Individual

SHAQUIVIA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 23502-3933
(757) 354-2885
(757) 917-5141
Mailing address
1509 HACKENSACK RD, VIRGINIA BEACH, VA 23455-3415
(757) 438-5872

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904017749
VA

Other

Enumeration date
01/15/2025
Last updated
01/15/2025
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