Individual
MR. JONATHAN EDWARD WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1102 SMITH AVE, THOMASVILLE, GA 31792-5739
(229) 225-5208
Mailing address
1102 SMITH AVE, THOMASVILLE, GA 31792-5739
(229) 225-5208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007043
GA
Other
Enumeration date
01/11/2012
Last updated
03/02/2020
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