Individual
JACQUELINE MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1377 JOHNNY JOHNSON DR, BROOKHAVEN, MS 39601-9641
(601) 990-2398
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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