Individual
MAYURI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6030 MARSHALEE DR STE 563, ELKRIDGE, MD 21075-5987
(410) 929-0460
Mailing address
6030 MARSHALEE DR STE 563, ELKRIDGE, MD 21075-5987
(410) 929-0460
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM621
MD
Other
Enumeration date
08/08/2017
Last updated
10/14/2019
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