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Individual
JUDY ANN THOMAS
Active
Individual
JUDY ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58-2108870
—
GA
Enumeration date
11/08/2018
Last updated
10/29/2020
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