Individual
MS. LATESHA W THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 W WOODROW WILSON AVENUE, SUITE #3140, JACKSON, MS 39213
(769) 251-5751
Mailing address
350 W WOODROW WILSON AVENUE, SUITE #3140, JACKSON, MS 39213-7664
(769) 251-5751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7940
MS
Other
Enumeration date
06/14/2013
Last updated
02/14/2023
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