Individual
MRS. GLORIA JEAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3493 WOODS EDGE DR, SUITE 103, OKEMOS, MI 48864
(517) 886-3707
(517) 349-1973
Mailing address
3493 WOODS EDGE DR, SUITE 103, OKEMOS, MI 48864
(517) 886-3707
(517) 349-1973
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801004724
MI
1041C0700X
Clinical Social Worker
6801004724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0893685
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/22/2006
Last updated
03/03/2011
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