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1376135137
JONATHAN W KEITH
ORANGEBURG, SC
NPI
1376135137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
JONATHAN W KEITH MSW
1111 DOYLE ST
ORANGEBURG, SC 29115-4797
Phone number: 803-395-8173
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Mailing Address
JONATHAN W KEITH MSW
2420 BERMUDA HILLS RD
COLUMBIA, SC 29223-6808
Phone number: 803-651-1460
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