Individual
MS. SANDRA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5440 THORNBRIAR LN, FORT WAYNE, IN 46835-3886
(260) 484-4600
(260) 484-4002
Mailing address
5440 THORNBRIAR LN, FORT WAYNE, IN 46835-3886
(260) 484-4600
(260) 484-4002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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