Individual
BRIAN MICHAEL THOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
888 W SANTA ANA BLVD STE 150, SANTA ANA, CA 92701-4592
(714) 568-9803
Mailing address
888 W SANTA ANA BLVD STE 150, SANTA ANA, CA 92701-4592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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