Individual
KAILIAH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
819 RITCHIE HWY STE 1020, SEVERNA PARK, MD 21146-4193
(410) 431-5111
(410) 431-5112
Mailing address
25 LINCOLN WOODS WAY APT 2A, PERRY HALL, MD 21128-9378
(443) 410-9430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17186
MD
Other
Enumeration date
08/31/2015
Last updated
03/26/2018
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