Individual
MR. STEPHEN P THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
222 SAINT JOHN ST, SUITE 210, PORTLAND, ME 04102-3041
(207) 828-0759
(207) 828-0701
Mailing address
222 SAINT JOHN ST, SUITE 210, PORTLAND, ME 04102-3041
(207) 828-0759
(207) 828-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0825
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217030000
—
ME
05
—
217030100
—
ME
Enumeration date
01/23/2007
Last updated
07/09/2007
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