JAY THAMES MOAK

MCCOMB, MS
NPI1619919701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MS  45-731)
Enumeration Date2006-06-12
Last Update Date2007-07-08
Business Address
-- JAY THAMES MOAK Ph.D.
1701 WHITE ST
MCCOMB, MS 39648-2711
Phone number: 601-684-2173
Mailing Address
-- JAY THAMES MOAK Ph.D.
PO BOX 768
MCCOMB, MS 39649-0768
Phone number: 601-249-2173
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