Individual
POLLY E THORNHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 N CONGRESS ST, SUITE 100, JACKSON, MS 39201-1902
(601) 355-8634
(601) 960-8493
Mailing address
200 N CONGRESS ST, SUITE 100, JACKSON, MS 39201-1902
(601) 355-8634
(601) 960-8493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M5010
MS
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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