Individual
JILL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 WENT AVE STE A, MISHAWAKA, IN 46545-6482
(574) 254-0229
(574) 254-0188
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88000422A
IN
Other
Enumeration date
02/05/2016
Last updated
07/21/2022
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