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Individual

LINDA M THOMAS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
3314 33RD ST SW, FARGO, ND 58104-5158
(701) 837-6508
(701) 858-1839
Mailing address
PO BOX 1148, MINOT, ND 58702-1148
(701) 837-6508
(701) 858-1839

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
743
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19148
ND
01
26470
BLUE CROSS BLUE SHIELD ND
ND
Enumeration date
03/31/2006
Last updated
07/08/2007
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