Individual
MARIANNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 S 25TH ST, FORT PIERCE, FL 34981-5605
(772) 340-5750
(772) 323-2404
Mailing address
1107 W 13TH SQ, VERO BEACH, FL 32960-2119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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