Individual
MR. JONATHAN PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1518 E LANCASTER AVE, FT WORTH, TX 76102-6774
(817) 255-7150
(817) 255-7166
Mailing address
1518 E LANCASTER AVE, FT WORTH, TX 76102-6774
(817) 255-7150
(817) 255-7166
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
62647
TX
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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