Individual
TERRY L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
71 ROAD 49031, BLOOMFIELD, NM 87413-9663
(970) 430-8170
(000) 000-0000
Mailing address
71 ROAD 49031, BLOOMFIELD, NM 87413-9663
(970) 430-8170
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7685493-3502
UT
Other
Enumeration date
07/16/2010
Last updated
06/01/2022
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