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Individual

AUNDREA DENISE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
229 SMITHFIELD ST, CANONSBURG, PA 15317-1701
(724) 746-3428
Mailing address
229 SMITHFIELD ST, CANONSBURG, PA 15317-1701
(724) 746-3428

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW011173L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005525880001
PA
Enumeration date
03/11/2009
Last updated
03/11/2009
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