Individual
DR. DAMAFING KEITA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
3825 JODECO RD, MCDONOUGH, GA 30253-5423
(678) 961-3871
Mailing address
1787 DEER CROSSING WAY, JONESBORO, GA 30236-5199
(678) 977-1532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC004565
GA
103TC0700X
Clinical Psychologist
PSY003417
GA
103TC1900X
Counseling Psychologist
Primary
PSY003417
GA
Other
Enumeration date
08/06/2008
Last updated
01/22/2019
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