Individual
EDDIE WILSON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
20605 KENOSHA ST, HARPER WOODS, MI 48225-2249
(313) 213-2385
Mailing address
20605 KENOSHA ST, HARPER WOODS, MI 48225-2249
(313) 213-2385
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/28/2008
Last updated
11/28/2008
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