Kenneth Maurice Johnson
Kenneth Maurice Johnson is a Clinical Social Worker in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2022
Practice location Address checks out
3911 Old Lee Hwy Ste 43BFairfax, VA 22030-2434
Phone: (301) 523-7843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 0904013452 (VA) |
|---|
Record details
| NPI number | 1588375216 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 13, 2022 |
| Last updated in NPPES | December 13, 2022 |
| Certification date | December 13, 2022 |
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