Individual
JONATHAN DAVID WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
9513 51ST AVE, COLLEGE PARK, MD 20740-4512
(202) 297-3162
Mailing address
9513 51ST AVE, COLLEGE PARK, MD 20740-4512
(202) 297-3162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13894
MD
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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