Individual
MARY THOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICAL SOCIAL WORK
Contact information
Practice address
2210 ELIZABETH ST, MONROE, LA 71201-5012
(318) 330-7529
(318) 330-7520
Mailing address
2210 ELIZABETH ST, MONROE, LA 71201-5012
(318) 330-7529
(318) 330-7520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4777
LA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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