Individual
MRS. RADONNA MARIE THIES-JERNIGAN
Active
Individual
MRS. RADONNA MARIE THIES-JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, TRS/TXC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
61378
TX
225800000X
Recreation Therapist
Primary
0238
TX
225800000X
Recreation Therapist
14062
NY
Other
Enumeration date
05/23/2006
Last updated
05/06/2021
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