Individual
MS. KATHY R THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
4875 COPLIN ST, DETROIT, MI 48215-2192
(313) 822-1135
(313) 822-1157
Mailing address
5026 ANDERDON ST, DETROIT, MI 48213-3502
(313) 823-8443
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MI
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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