Individual
MIX A THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2440 M ST NW STE 314, WASHINGTON, DC 20037-1449
(540) 580-3991
Mailing address
5813 33RD AVE, HYATTSVILLE, MD 20782-3144
(540) 580-3991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LG50082871
DC
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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