Individual
TINA M THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, BSN
Contact information
Practice address
433 METAIRIE RD, METAIRIE, LA 70005-4333
(985) 789-7897
Mailing address
75368 MOONSHADOW LN, ABITA SPRINGS, LA 70420-4026
(985) 789-7897
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3256
LA
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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