Individual
LINDA A. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005667
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q326218045
PROVIDER NUMBER
SC
Enumeration date
03/16/2006
Last updated
06/14/2011
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