Individual
MARISSA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1857
(850) 469-3500
Mailing address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1857
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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