Individual
CAMELIA GRACE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11915 27TH AVE, FLUSHING, NY 11354-1011
(315) 383-4768
Mailing address
1280 LEXINGTON AVE FRNT 2, NEW YORK, NY 10028-2136
(347) 201-0977
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
102059
NY
1041C0700X
Clinical Social Worker
Primary
091496
NY
Other
Enumeration date
11/07/2017
Last updated
06/07/2023
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