Individual
MRS. CONNIE LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 WOODLANDS DRIVE, WAYMART, PA 18472
(570) 488-9884
Mailing address
37 WOODLANDS DRIVE, WAYMART, PA 18472
(570) 488-9884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000169L
PA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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