Individual
GARY DERRICK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE STE 201, WASHINGTON, DC 20002-1849
(202) 506-5187
Mailing address
1818 NEW YORK AVE NE STE 201, WASHINGTON, DC 20002-1849
(202) 506-5187
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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