Individual
KIMBERLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(774) 379-1566
Mailing address
12 CLARK CT APT 1L, WOONSOCKET, RI 02895-4372
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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