Individual
LAWRENCE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 W TAMARISK ST, PHOENIX, AZ 85041-2422
(623) 344-6600
(602) 344-6601
Mailing address
2619 E PIERCE ST, PHOENIX, AZ 85008-6092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
10/22/2014
Last updated
04/18/2022
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