Individual
BECKY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1321 APACHE PASS, STREETSBORO, OH 44241-5333
(216) 570-1104
(330) 626-9286
Mailing address
1321 APACHE PASS, STREETSBORO, OH 44241-5333
(216) 570-1104
(330) 626-9286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0800089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I0800089
SOCIAL WORK
OH
Enumeration date
08/24/2008
Last updated
08/24/2008
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