Individual
MS. AUDREY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 MAMARONECK AVE APT 817, WHITE PLAINS, NY 10605-6404
(914) 630-4374
Mailing address
300 MAMARONECK AVE APT 817, WHITE PLAINS, NY 10605-6404
(914) 630-4374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
018730-0
NY
171M00000X
Case Manager/Care Coordinator
018730-0
NY
174400000X
Specialist
018730-0
NY
Other
Enumeration date
05/03/2009
Last updated
05/03/2009
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