Individual
MS. ANNALIESE MARJORIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7369 SHERIDAN ST STE 101, HOLLYWOOD, FL 33024-2776
(954) 561-6222
(954) 990-7650
Mailing address
1400 E OAKLAND PARK BLVD STE 210, OAKLAND PARK, FL 33334-4400
(954) 561-6222
(954) 990-7650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW17097
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110694900
—
FL
Enumeration date
09/13/2010
Last updated
01/16/2023
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