Individual
SAMANTHA JANETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(313) 922-2222
Mailing address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(313) 922-2222
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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