Individual
MS. JENNIFER LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6000 POPLAR AVE, MEMPHIS, TN 38119-3981
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 10901, FORT WAYNE, IN 46854-0901
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7432
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7432
STATE LICENSE
TN
Enumeration date
02/14/2011
Last updated
03/14/2024
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