Individual
MRS. TAMIKO THAMES MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
412 EDGEWOOD XING, BRANDON, MS 39042-2957
(601) 824-6021
Mailing address
1755 LELIA DR, SUITE 104, JACKSON, MS 39216-4828
(601) 965-5727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M5374
MS
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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