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Individual

MS. JOETTA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
64 NEW YORK AVE NE, WASHINGTON, DC 20002-3320
(202) 698-2431
(202) 698-2466
Mailing address
7216 WINDSOR LN, HYATTSVILLE, MD 20782-1045

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078099
DC

Other

Enumeration date
05/22/2012
Last updated
05/22/2012
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