Individual
LISA MAE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
907 N POPLAR ST STE 183, CASPER, WY 82601-1304
(307) 472-9890
(307) 472-9891
Mailing address
907 N POPLAR ST STE 183, CASPER, WY 82601-1304
(307) 472-9890
(307) 472-9891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PCSW304
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-703
STATE LICENSE
WY
Enumeration date
01/06/2009
Last updated
01/02/2015
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