Individual
TARA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1052 GARDNER RD, CHARLESTON, SC 29407-5702
(843) 350-8075
Mailing address
1052 GARDNER RD, CHARLESTON, SC 29407-5702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17469
SC
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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