Individual
LAQUITA R. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 W JEFFERSON AVE, GREENWOOD, MS 38930-2808
(662) 392-5087
Mailing address
1104 W JEFFERSON AVE, GREENWOOD, MS 38930-2808
(662) 392-4847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M9531
MS
Other
Enumeration date
03/28/2016
Last updated
11/07/2025
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