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Individual

MRS. HEATHER RENEE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LLPC

Contact information

Practice address
2115 E JUDD RD, BURTON, MI 48529-2404
(810) 766-3160
Mailing address
2115 E JUDD RD, BURTON, MI 48529-2404
(810) 766-3160

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013353
MI

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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