Individual
MRS. ELLEN DIANE THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
784 FARMINGTON AVE, WEST HARTFORD, CT 06119-1619
(860) 523-4450
(860) 523-9537
Mailing address
784 FARMINGTON AVE, WEST HARTFORD, CT 06119-1619
(860) 523-4450
(860) 523-9537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CT000142
CT
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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