Individual
MRS. ADRIS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
251 BIENTERRA TRL APT 9, ROCKFORD, IL 61107-5879
(630) 418-2030
Mailing address
251 BIENTERRA TRL APT 9, ROCKFORD, IL 61107-5879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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