Individual
JONATHAN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
35 TAYLOR ST APT 2, HOLYOKE, MA 01040-3474
(978) 877-1903
Mailing address
35 TAYLOR ST APT 2, HOLYOKE, MA 01040-3474
(978) 877-1903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
225607
MA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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