Thomas a Gonsalves Incorporated

NPI #1659311967 in Mccomb, Mississippi

Provider Information

NPI Number
1659311967
Entity Type
Organization
Organization Name
Thomas a Gonsalves Incorporated
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jun 7, 2006
Last Updated
Oct 19, 2010

Practice Location

Address
307 APACHE DRIVE
Address 2
SUITE B
City
Mccomb
ZIP Code
39648-6309
Phone
(601) 551-1327

Authorized Official

Name
MR. THOMAS ALLEN GONSALVES, AM LCSW
Title
PRESIDENT OF CORPORATION PRIVATE
Phone
(601) 551-1327

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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