Individual
ANNIE RUTH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1159 GLENCARIN ST, JACKSONVILLE, FL 32208-4367
(904) 444-4162
Mailing address
1159 GLENCARIN ST, JACKSONVILLE, FL 32208-4367
(904) 444-4162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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