Individual
AUTUMN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2222 COLONIAL RD, FORT PIERCE, FL 34950-5309
(772) 489-4726
Mailing address
988 NE MARANTA TERRADO, JENSEN BEACH, FL 34957-5019
(772) 323-7765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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