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PENELOPE S THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
2821 MISSION HILL RD, TULALIP, WA 98271-9706
(360) 716-4334
(360) 652-4404
Mailing address
4013 HIGH ST, EVERETT, WA 98201-4830
(425) 478-4571
(360) 651-4404

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00000479
WA

Other

Enumeration date
11/19/2010
Last updated
04/04/2011
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