Individual
MR. THOMAS BOMAR EDMONDS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
BOMAR EDMONDS
Contact information
Practice address
203 MANSFIELD DR, SPARTANBURG, SC 29307-1109
(864) 579-0569
Mailing address
203 MANSFIELD DR, SPARTANBURG, SC 29307-1109
(864) 579-0569
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LISW CP 27
SC
Other
Enumeration date
03/15/2006
Last updated
07/21/2022
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