Individual
LASHAWNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
(262) 643-4617
Mailing address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
(262) 643-4617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19554-130
WI
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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