Individual
MARY KATHLEEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHPSS
Contact information
Practice address
202 BROOKS ST, MISSOULA, MT 59801-4019
(406) 926-1453
Mailing address
924 RIMINI CT, MISSOULA, MT 59801-7043
(406) 239-9991
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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