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Individual
SERENA A THOMAS
Active
Individual
SERENA A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0500240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314525
—
OH
05
—
2864002
—
OH
Enumeration date
05/29/2018
Last updated
02/28/2019
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