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Individual
MR. ALEXANDER THOMAS JR.
Active
Individual
MR. ALEXANDER THOMAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD0000191
CO
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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