Individual
DOMINIQUE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
127 S COURT SQ, OZARK, AL 36360-0401
(334) 655-4522
Mailing address
127 S COURT SQ, OZARK, AL 36360-0401
(334) 655-4522
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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