Individual
MRS. TRENA THOMAS NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
412 DEVONSHIRE DR, JONESBORO, GA 30236-4226
(404) 414-6643
(770) 472-7348
Mailing address
PO BOX 2369, JONESBORO, GA 30237-2369
(404) 414-6643
(770) 472-7348
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
07/09/2007
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