Individual
PATRICK THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5025 S ASH AVE STE 12, TEMPE, AZ 85282-6885
(665) 792-0298
Mailing address
8805 W VAN BUREN ST, TOLLESON, AZ 85353-5100
(602) 918-4778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-17070
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15183399
CAQH
AZ
Enumeration date
07/05/2021
Last updated
07/05/2021
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