Individual
JONATHAN W KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1111 DOYLE ST, ORANGEBURG, SC 29115-4797
(803) 395-8173
Mailing address
2420 BERMUDA HILLS RD, COLUMBIA, SC 29223-6808
(803) 651-1460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
SC
1041C0700X
Clinical Social Worker
Primary
—
SC
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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