Individual
MRS. ANGELA BEATRIZ THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 PAGEANT LN, CLARKSVILLE, TN 37040-3865
(931) 920-2347
(931) 553-2347
Mailing address
2891 IDAHO AVE APT B, FORT CAMPBELL, KY 42223-3606
(270) 697-1095
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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