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Individual
NICHOLAS JAMES THOMAS
Active
Individual
NICHOLAS JAMES THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007910
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945247
—
VA
Enumeration date
05/22/2012
Last updated
05/22/2012
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