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Individual

SUSAN L THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
440 N MAIN ST, BRISTOL, CT 06010-1902
(860) 583-5858
(860) 584-9962
Mailing address
PO BOX 1280, BRISTOL, CT 06011-1280
(860) 585-3337

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
005533
CT

Other

Enumeration date
01/28/2009
Last updated
01/28/2009
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