Individual
ANDREA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7700
Mailing address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801097793
MI
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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