Individual
MS. CHARLETTE THOMAS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
315 NORTH LAKEMONT AVENUE, SUITE B, BEHAVIORAL SUPPORT SERVICES, WINTER PARK, FL 32792
(407) 996-4905
Mailing address
315 NORTH LAKEMONT, BEHAVIORAL SUPPORT SRVICES, INC, WINTER PARK, FL 32792
(407) 996-4905
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1673
FL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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