Individual
JONATHAN READE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
92 VISTA MONTANA LOOP, PLACITAS, NM 87043-9518
(917) 412-9296
Mailing address
92 VISTA MONTANA LOOP, PLACITAS, NM 87043-9518
(917) 412-9296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-09473
NM
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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