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Individual

PATRICIA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4100 BROAD ST, SUMTER, SC 29154-1636
(908) 494-0018
Mailing address
4100 BROAD ST, SUMTER, SC 29154-1636
(908) 494-0018

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/03/2016
Last updated
10/03/2016
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