Joe T. Johnson, Lcsw Llc | |
404 Chatham Sq Park Square Office Park Fredericksburg VA 22405-2544 | |
(540) 373-1200 | |
(540) 373-1283 |
Full Name | Joe T. Johnson, Lcsw Llc |
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Speciality | Social Worker - Clinical |
Location | 404 Chatham Sq Park, Fredericksburg, Virginia |
Authorized Official Name and Position | Joe Thomas Johnson (SOLE PROPRIETOR) |
Authorized Official Contact | 5408091589 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Joe T. Johnson, Lcsw Llc 10323 Edinburgh Dr Spotsylvania VA 22553-1733 Ph: (540) 809-1589 | Joe T. Johnson, Lcsw Llc 404 Chatham Sq Park Square Office Park Fredericksburg VA 22405-2544 Ph: (540) 373-1200 |
NPI Number | 1770903379 |
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Provider Enumeration Date | 04/22/2014 |
Last Update Date | 04/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770903379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904003387 (Virginia) | Primary |
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