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Individual
VALENCIA S THOMAS
Active
Individual
VALENCIA S THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD20MD
—
SC
Enumeration date
09/09/2013
Last updated
09/09/2013
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