Individual
MRS. BAYAAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2744 W 63RD ST, CHICAGO, IL 60629-2343
(773) 434-4626
Mailing address
9909 RIDGELAND AVE APT 1S, OAK LAWN, IL 60453-3777
(608) 698-3988
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150111948
IL
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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