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Individual

MR. TIMOTHY RAY THOMAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(770) 402-0889
(404) 636-7449
Mailing address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(770) 402-0889
(404) 636-7449

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000736
GA

Other

Enumeration date
11/09/2005
Last updated
07/08/2007
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