Individual
TRACI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1083 BLOOM RD APT 105, DANVILLE, PA 17821-6789
(570) 961-3361
(570) 961-3364
Mailing address
4101 BIRNEY AVE, MOOSIC, PA 18507-1323
(570) 961-3361
(570) 961-3364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW016359
PA
Other
Enumeration date
10/21/2017
Last updated
06/16/2018
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