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Organization

JEANNE JOHNSON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VIDA LYNNE PENN-PICK LCSW-C (THERAPIST)
(301) 606-2727
Entity
Organization

Contact information

Practice address
2209 NEES LN, SILVER SPRING, MD 20905-4541
(504) 701-7469
Mailing address
2209 NEES LN, SILVER SPRING, MD 20905-4541
(504) 701-7469

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC6022
MD

Other

Enumeration date
07/28/2015
Last updated
07/28/2015
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