Individual
MELISSA THORNTON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, PIP
Contact information
Practice address
2204 LAKESHORE DR, HOMEWOOD, AL 35209-6729
(205) 874-7844
Mailing address
2204 LAKESHORE DR, HOMEWOOD, AL 35209-6729
(205) 516-2016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4156C
AL
Other
Enumeration date
10/26/2019
Last updated
10/26/2019
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