Individual
MS. ELLEN B THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 682-7571
(541) 682-7598
Mailing address
377 W 22ND AVE, EUGENE, OR 97405-2625
(541) 344-5549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1858
OR
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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