Individual
JONATHAN L WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8TH AVE, BLDG 250, SMYRNA, TN 37167
(615) 267-7121
Mailing address
2161 BLAKE DR, ANTIOCH, TN 37013-4447
(615) 714-0348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7953
TN
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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