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Individual
MS. MARY JANE THOMAS
Active
Individual
MS. MARY JANE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07909
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222022
COMPSYCH ID #
MD
01
—
41734
AMERICAN PSYCH SYSTEMS ID
MD
01
—
529553 06
BLUE CROSS BLUE SHIELD
MD
01
—
QE24MJ
BCBS ID #
MD
01
—
R9340001
BLUE CHOICE ID #
MD
Enumeration date
10/18/2006
Last updated
07/08/2007
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