Individual
MR. JONAH DAVID GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3930 KNOWLES AVE STE 200, SUITE 200, KENSINGTON, MD 20895-2428
(301) 967-7567
(301) 949-0677
Mailing address
3930 KNOWLES AVENUE, SUITE 200, KENSINGTON, MD 20895
(301) 466-9526
(301) 949-0677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09449
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026303601
—
MD
Enumeration date
08/20/2006
Last updated
08/14/2012
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