Individual
NICOLE M THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
975 ROUTE 73 N STE A, MARLTON, NJ 08053-1281
(718) 644-0854
Mailing address
65 MAINBRIDGE LN, WILLINGBORO, NJ 08046-2101
(718) 644-0854
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SC06125900
NJ
104100000X
Social Worker
Primary
Q10012082
DE
104100000X
Social Worker
Q30000079
DE
Other
Enumeration date
05/28/2022
Last updated
03/07/2024
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