Individual
MS. MARY HELEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3871 S GREEN ACRES ST, PEMBROKE TOWNSHIP, IL 60958-5059
(815) 386-6033
Mailing address
3871 S GREEN ACRES ST, PEMBROKE TOWNSHIP, IL 60958-5059
(815) 386-6033
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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