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Individual

LATONYA R THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
122 DESOTO AVE STE 109, CLARKSDALE, MS 38614-4440
(662) 592-5397
(662) 627-2442
Mailing address
122 DESOTO AVE STE 109, CLARKSDALE, MS 38614-4440
(662) 592-5397
(662) 627-2442

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
AR
1041C0700X
Clinical Social Worker
Primary
MS
1041C0700X
Clinical Social Worker
VA
1041C0700X
Clinical Social Worker
WA

Other

Enumeration date
09/27/2010
Last updated
10/23/2023
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