Individual
BREANNE L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1200 ALAMANDA RD NE, PALM BAY, FL 32905-4221
(321) 723-1055
Mailing address
15 N 3RD ST STE 300, NEWARK, OH 43055-5550
(740) 349-7511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
S1500925
OH
1041C0700X
Clinical Social Worker
Primary
SW15611
FL
Other
Enumeration date
08/02/2017
Last updated
07/24/2019
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