MR. Jonathan Prouty, LMSW

NPI #1336675602 in Ft Worth, Texas

Provider Information

NPI Number: 1336675602
Entity Type: Individual
Name: MR. Jonathan Prouty, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: May 5, 2017
Last Updated: May 5, 2017

Practice Location

Address: 1518 E LANCASTER AVE
City: Ft Worth
State: Texas
ZIP Code: 76102-6774
Phone: (817) 255-7150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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