Individual
MS. FREDA SHAVON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5411 PLAZA DR STE F, TEXARKANA, TX 75503-1667
(903) 701-6789
Mailing address
5411 PLAZA DR STE F, TEXARKANA, TX 75503-1667
(903) 701-6789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2608-C
AR
1041C0700X
Clinical Social Worker
Primary
54328
TX
171M00000X
Case Manager/Care Coordinator
220041067
TX
Other
Enumeration date
03/27/2007
Last updated
03/26/2012
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