Individual
MONIQUE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1267 WABASH RD SE, PALM BAY, FL 32909-5550
(772) 203-9389
Mailing address
1267 WABASH RD SE, PALM BAY, FL 32909-5550
(772) 203-9389
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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