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1336565035
TANITA MARTIN-THAMES
JACKSON, MS
NPI
1336565035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C7489)
Enumeration Date
2014-03-05
Last Update Date
2018-12-05
Business Address
TANITA MARTIN-THAMES LCSW
2637 RIDGEWOOD RD STE G
JACKSON, MS 39216-4971
Phone number: 913-915-6236
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Mailing Address
TANITA MARTIN-THAMES LCSW
PO BOX 2358
CLINTON, MS 39060-2358
Phone number: 913-915-6236
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