Individual
MS. SANDRA MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
5900 YORK ROAD, SUITE 106, BALTIMORE, MD 21212
(410) 433-7123
(410) 433-7126
Mailing address
5900 YORK ROAD, SUITE 106, BALTIMORE, MD 21212
(410) 433-7123
(410) 433-7126
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10403
MD
104100000X
Social Worker
Q10000748
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259B
BCBS
MD
01
—
K0360000690
BCBS
MD
Enumeration date
07/28/2006
Last updated
04/26/2012
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