Individual
NIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 AUBURN DR STE 200, BEACHWOOD, OH 44122-4328
(216) 378-2935
Mailing address
13825 CARPENTER RD, GARFIELD HEIGHTS, OH 44125-5127
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2506722
OH
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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