Individual
MARION THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS, ACSW
Contact information
Practice address
13305 ECTOR DR, BAKER, LA 70714-4653
(225) 775-0003
Mailing address
13305 ECTOR DR, BAKER, LA 70714-4653
(225) 775-0003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1403
LA
1041S0200X
School Social Worker
1403
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1621765
—
LA
Enumeration date
07/18/2011
Last updated
09/14/2011
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