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Individual

MR. BURTON W THOMAS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAP

Contact information

Practice address
17 RANWOOD LN, PALM COAST, FL 32164-6802
(386) 679-1388
Mailing address
17 RANWOOD LN, PALM COAST, FL 32164-6802
(386) 679-1388

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-010343-2015
FL

Other

Enumeration date
04/12/2018
Last updated
04/12/2018
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