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1013420702
EBONY THOMAS
JACKSON, MS
NPI
1013420702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C7831)
Enumeration Date
2017-11-16
Last Update Date
2017-11-16
Business Address
EBONY THOMAS LCSW
1850 CHADWICK DR
JACKSON, MS 39204-3404
Phone number: 601-421-9720
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Mailing Address
EBONY THOMAS LCSW
PO BOX 7232
JACKSON, MS 39282-7232
Phone number: 601-421-9720
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