Individual
LATONYA MONIQUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3112 GRIFFIN AVE, RICHMOND, VA 23222-2617
(804) 852-5944
Mailing address
3112 GRIFFIN AVE, RICHMOND, VA 23222-2617
(804) 852-5944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011157
VA
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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