Individual
CLARA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA,PP,CPS
Contact information
Practice address
6572 BAILEY RD, BLACKSHEAR, GA 31516-5246
(912) 282-4192
Mailing address
6572 BAILEY RD, BLACKSHEAR, GA 31516-5246
(912) 282-4192
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2016 0D0247
GA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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