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Individual

MRS. ELLEN J THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CGC

Contact information

Practice address
201 INDUSTRIAL RD, SUITE 410, SAN CARLOS, CA 94070-2396
(650) 249-9091
(650) 730-2276
Mailing address
4102 AMY COURT, SPRINGFIELD, IL 62711
(650) 249-9091
(650) 730-2276

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary

Other

Enumeration date
11/30/2005
Last updated
06/19/2015
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