Individual
MS. GAYLE TERESA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MHP, CPRP
Contact information
Practice address
1025 6TH ST SE, MINNEAPOLIS, MN 55414-1403
(612) 331-7390
(612) 331-4436
Mailing address
1025 6TH ST SE, MINNEAPOLIS, MN 55414-1403
(612) 331-7390
(612) 331-4436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
173213
MN
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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