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Individual

MR. JONATHAN DECARLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(443) 866-9748
Mailing address
200 BOOTH ST, ELKTON, MD 21921-5657
(443) 866-9748

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23886
MD
104100000X
Social Worker
23886

Other

Enumeration date
12/11/2018
Last updated
12/11/2018
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