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Individual
MATTHEW B THOMAS
Active
Individual
MATTHEW B THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.108758
IL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149.029073
IL
Other
Enumeration date
08/02/2022
Last updated
11/03/2025
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