Individual
ALICIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1695 MAIN ST, STE 400, SPRINGFIELD, MA 01103-1348
(413) 739-5572
Mailing address
1695 MAIN ST, STE 400, SPRINGFIELD, MA 01103-1348
(413) 739-5572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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