Individual
DESIREE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 SUCRE CIR, ABBEVILLE, LA 70510
(337) 704-6621
Mailing address
336 SUCRE CIR, ABBEVILLE, LA 70510-2494
(337) 704-6621
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
11/29/2018
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