Individual
MICHELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5925 MCKINLEY ST, HOLLYWOOD, FL 33021-4560
(954) 963-0991
(954) 963-3956
Mailing address
10001 W OAKLAND PARK BLVD, SUNRISE, FL 33351-6925
(954) 963-0991
(954) 963-3956
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/24/2006
Last updated
04/30/2025
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