Individual
ANGELA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 S 3RD AVE, BIG RAPIDS, MI 49307-9501
(231) 796-3553
Mailing address
8421 W ROYAL RD, STANWOOD, MI 49346-8925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801076880
MI
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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