Individual
REAGAN SHEA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2007 WILDWOOD DR, PICAYUNE, MS 39466-2178
(769) 926-2657
(769) 926-2658
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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