Individual
VASHANTONIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 EXCHANGE PL, LAFAYETTE, LA 70503
(337) 291-2815
Mailing address
114 EXCHANGE PL, LAFAYETTE, LA 70503-2510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
17041
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/10/2017
Last updated
07/30/2024
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