JONATHAN MICHAEL NATHANIEL KEITH

LOUISVILLE, KY
NPI1548848401
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  255584)
Enumeration Date2021-03-31
Last Update Date2022-05-24
Business Address
JONATHAN MICHAEL NATHANIEL KEITH LCSW
4010 DUPONT CIR STE 227
LOUISVILLE, KY 40207-4812
Phone number: 502-373-6632
Mailing Address
JONATHAN MICHAEL NATHANIEL KEITH LCSW
335 EAGLE LN
NEW ALBANY, IN 47150-6131
Phone number: 502-373-6632
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