Individual
ALEXANDRA DOMAS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED,
Contact information
Practice address
1660 N. LASALLE, UNIT 3804, CHICAGO, IL 60614
(847) 309-4944
Mailing address
1660 N. LASALLE, UNIT 3804, CHICAGO, IL 60614
(847) 309-4944
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2419168
IL
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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