Individual
MRS. DELORES THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1613 HARDY CASH DR, HAMPTON, VA 23666-2414
(757) 595-2727
(757) 595-2776
Mailing address
1613 HARDY CASH DR, HAMPTON, VA 23666-2414
(757) 595-2727
(757) 595-2776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005125
VA
320800000X
Mental Illness Community Based Residential Treatment Facility
0904005125
VA
Other
Enumeration date
01/18/2007
Last updated
03/18/2011
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