Individual
WANDA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8 RIDGEWAY PL, CLINTON, MS 39056-3542
(601) 842-1562
Mailing address
105 ELIZABETH DR, CLINTON, MS 39056-6147
(601) 842-1562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5953C
AL
1041C0700X
Clinical Social Worker
Primary
C5245
MS
Other
Enumeration date
04/24/2015
Last updated
10/02/2024
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