Individual
JONATHAN LEO GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LMSW
Contact information
Practice address
2300 GARRISON BLVD STE 104, BALTIMORE, MD 21216-2308
(410) 233-6200
Mailing address
3253 YOSEMITE AVE, BALTIMORE, MD 21215-7561
(443) 562-4149
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16569
MD
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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