Individual
MRS. DOMINIQUE YVETTE THOMATIS-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 CREEKWOOD PL, JACKSON, MS 39211-2929
(601) 672-7097
Mailing address
4 CREEKWOOD PL, JACKSON, MS 39211-2929
(601) 672-7097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8190
MS
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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