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Individual

JEANETTA RUTH THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
713 KEELING RD, GADSDEN, AL 35903-3827
(256) 504-2501
Mailing address
713 KEELING RD, GADSDEN, AL 35903-3827
(256) 504-2501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4634C
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4634C
ALABAMA STATE BOARD OF SOCIAL WORK EXAMINERS
AL
Enumeration date
02/09/2021
Last updated
02/09/2021
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