Individual
MRS. JACQUELINE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
774 EAYRESTOWN ROAD, LUMBERTON, NJ 08048-3100
(917) 868-2113
(856) 216-7565
Mailing address
774 EAYRESTOWN ROAD, LUMBERTON, NJ 08048-3100
(917) 868-2113
(610) 644-4066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05425200
NJ
Other
Enumeration date
08/08/2011
Last updated
10/12/2018
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