Individual
LYNETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW-C, LCSW
Contact information
Practice address
1012 14TH ST NW STE 1000, WASHINGTON, DC 20005-3452
(202) 737-2554
Mailing address
1012 14TH ST NW STE 1000, WASHINGTON, DC 20005-3452
(202) 737-2554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11105
MD
1041C0700X
Clinical Social Worker
11412
LA
1041C0700X
Clinical Social Worker
Primary
LC302509
DC
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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