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Individual

MRS. MIKKI THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAPC

Contact information

Practice address
138 CANAL ST STE 303, POOLER, GA 31322-4046
(912) 433-7829
Mailing address
138 CANAL ST STE 303, POOLER, GA 31322-4046
(912) 433-7829

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC010183
GA

Other

Enumeration date
01/23/2025
Last updated
01/23/2025
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