Individual
CONNIE LYNN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 HIGHWAY VV, KENNETT, MO 63857
(573) 888-0642
Mailing address
935 HIGHWAY VV, KENNETT, MO 63857
(573) 888-0642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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