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Individual

ANDREA L. THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
711 SAINT ANDREWS BLVD STE A, CHARLESTON, SC 29407-7196
(843) 901-9309
(843) 414-7572
Mailing address
711-A ST. ANDREW BLVD, CHARLESTON, SC 29407-5983
(843) 901-9309
(843) 414-7572

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5523
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
QM0454
SC
Enumeration date
01/14/2008
Last updated
07/10/2012
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