Individual
DONNA LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1100 CESERY BLVD, JACKSONVILLE, FL 32211-5699
(904) 745-3070
(904) 745-3087
Mailing address
417 W 26TH ST, JACKSONVILLE, FL 32206-1923
(904) 745-3070
(904) 745-3087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750730500
—
FL
Enumeration date
09/06/2006
Last updated
07/08/2007
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