Individual
ALICIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
604 8TH ST, GRUNDY CENTER, IA 50638-1328
(319) 929-5662
Mailing address
PO BOX 233, GRUNDY CENTER, IA 50638-0233
(319) 929-5662
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090722
IA
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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