Individual
PARIS THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 W ROOSEVELT RD, CHICAGO, IL 60608-1131
(773) 630-1703
Mailing address
PO BOX 17197, CHICAGO, IL 60617-0081
(507) 227-2728
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588042931
—
IL
Enumeration date
06/21/2021
Last updated
06/21/2021
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