Individual
JEANINE LOUISE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
91 TROY SQ STE 101, TROY, MO 63379-3228
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014024206
MO
Other
Enumeration date
10/19/2015
Last updated
03/02/2021
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