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Individual

DR. JENNIFER THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., BCBA-D

Contact information

Practice address
8548 DOWNING ST, WASHINGTON, MI 48094-3951
(586) 747-7327
Mailing address
8548 DOWNING ST, WASHINGTON, MI 48094-3951
(586) 747-7327

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20888
MI
103TC0700X
Clinical Psychologist
6301011058
MI

Other

Enumeration date
02/11/2016
Last updated
02/11/2016
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