Individual
JONATHAN KEITH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
523 DIXIE ST STE 1, CARROLLTON, GA 30117-3870
(770) 812-3266
Mailing address
509 CHEROKEE RD, LAGRANGE, GA 30240-2001
(706) 594-0504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004666
GA
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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