Provider Information for 1992077481
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Ms. JENNIFER SUE THOMAS-SIMMONS L.C.S.W.
Sex: Female
NPI: 1992077481
Last Updated: 2012-01-31
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1992077481 | ||||||||
| Enumeration Date | 2012-01-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2711 W 15TH ST PANAMA CITY, FL 32401-1366 United States Phone: 850-769-6001 | Fax:850-769-6003 | ||||||||
| Primary Practice Address | 2711 W 15TH ST PANAMA CITY, FL 32401-1366 United States Phone: 850-769-6001 | Fax:850-769-6003 | ||||||||
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