Individual
MRS. MARY LINDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
524 CLEVELAND BLVD STE 230, CALDWELL, ID 83605-4080
(208) 454-8107
(208) 455-9590
Mailing address
524 CLEVELAND BLVD STE 230, P.O. BOX 41, CALDWELL, ID 83605-4080
(208) 454-8107
(208) 455-9590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 25123
ID
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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