Individual
JOHNATHAN B SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
314 GROVE NECK RD, EARLEVILLE, MD 21919-3008
(855) 740-1921
Mailing address
2701 RENAISSANCE BLVD FL 4, KING OF PRUSSIA, PA 19406-2781
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24025
MD
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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