Individual
CLEMENCIA M THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WESTCHESTER SQUARE, BRONX, NY 10461-1801
(718) 931-4045
Mailing address
147 BAINBRIDGE ST, BROOKLYN, NY 11233-1801
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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