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1184466518
JONATHAN L WENTWORTH
SMYRNA, TN
NPI
1184466518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TN 7953)
Enumeration Date
2024-06-07
Last Update Date
2024-06-07
Business Address
JONATHAN L WENTWORTH LCSW
8TH AVE BLDG 250
SMYRNA, TN 37167
Phone number: 615-267-7121
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Mailing Address
JONATHAN L WENTWORTH LCSW
2161 BLAKE DR
ANTIOCH, TN 37013-4447
Phone number: 615-714-0348
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