Individual
ANNETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 709-5130
(601) 709-5167
Mailing address
31 ELAINE CT, JACKSON, MS 39204-4750
(601) 720-4276
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/06/2023
Last updated
09/12/2023
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