Organization
GRACE M THOMAS LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE M THOMAS LPC (CLINICIAN/OWNER)
(203) 216-1716
Entity
Organization
Contact information
Practice address
1129 ESSEX PL, STRATFORD, CT 06615-5867
(203) 216-1716
Mailing address
19 LINCOLN ST, TRUMBULL, CT 06611-4610
(203) 216-1716
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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