Organization
JENNIFER THOMAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER THOMAS (SOCIAL WORK INTERN)
(757) 537-9607
Entity
Organization
Contact information
Practice address
2302 BUTTERNUT CT, AUGUSTA, GA 30909-8400
(757) 537-9607
Mailing address
2302 BUTTERNUT CT, AUGUSTA, GA 30909-8400
(757) 537-9607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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