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Individual
MS. JENNIE LORENA THOMAS
Active
Individual
MS. JENNIE LORENA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00056469
CA
103TC0700X
Clinical Psychologist
Primary
PSB94022230
CA
Other
Enumeration date
09/11/2007
Last updated
12/28/2015
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