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Individual

DEANICE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5630 CROWDER BLVD STE 208, NEW ORLEANS, LA 70127
(504) 241-6006
Mailing address
5630 CROWDER BLVD STE 208, NEW ORLEANS, LA 70127-2444
(504) 241-6006

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
13078
LA
171M00000X
Case Manager/Care Coordinator
Primary
13078
LA

Other

Enumeration date
01/11/2016
Last updated
08/02/2018
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