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Individual

KAHLIL DONTE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1628 MARION BARRY AVE SE, WASHINGTON, DC 20020-4706
(202) 866-7505
Mailing address
418 WILLOW BEND DR, GLEN BURNIE, MD 21060-8494
(202) 704-7476

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/04/2024
Last updated
03/04/2024
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