Individual
ANDREA JEAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4316
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361002208
MI
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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