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Individual

THERESE ELLEN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
505 S MAIN ST, LAS CRUCES, NM 88001-1206
(575) 527-5823
(575) 527-5886
Mailing address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
(575) 647-2898

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
348012
NM
1041C0700X
Clinical Social Worker
I-06052
NM

Other

Enumeration date
07/12/2006
Last updated
12/14/2023
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