Individual
CHARLENE THOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(561) 685-9093
Mailing address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15943
FL
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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