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Individual

MS. GLORIA A THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 695-8119
(804) 695-8122
Mailing address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 695-8119
(804) 695-8122

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003827
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497717615
VA
01
294721
VALUE OPTIONS
VA
Enumeration date
12/30/2008
Last updated
07/11/2011
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