Individual
EDWINA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BAPTIST DR STE 301, MADISON, MS 39110-2012
(601) 499-0935
(601) 499-0936
Mailing address
7731 OLD CANTON RD STE B, MADISON, MS 39110-6115
(601) 499-0935
(601) 499-0936
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1967
MS
Other
Enumeration date
03/01/2012
Last updated
02/08/2024
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