Individual
MRS. ANNETTE MARIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008100
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904008100
LCSW LICENSE NUMBER
VA
Enumeration date
12/07/2012
Last updated
03/07/2024
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