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1780120071
STEPHANIE THOMAS
JACKSON, MS
NPI
1780120071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 2763)
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
-- STEPHANIE THOMAS PCMHT
460 BRIARWOOD DR SUITE 510
JACKSON, MS 39206-3051
Phone number: 601-956-4816
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Mailing Address
-- STEPHANIE THOMAS PCMHT
460 BRIARWOOD DR SUITE 510
JACKSON, MS 39206-3051
Phone number: 601-956-4816
Copy
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