Individual
JESSICA DAWN THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
251 JEFFERY DR, CLARKSVILLE, TN 37043-5675
(931) 249-0981
Mailing address
251 JEFFERY DR, CLARKSVILLE, TN 37043-5675
(931) 249-0981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004965
TN
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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