Individual
JAMAL EUGENE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1417 SARATOGA AVE NE, WASHINGTON, DC 20018-1923
(202) 531-5541
Mailing address
65 GALVESTON ST SW, WASHINGTON, DC 20032-1954
(202) 531-5541
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
3075399
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70199323
—
DC
Enumeration date
05/25/2021
Last updated
05/25/2021
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