Individual
KIRK LAWRENCE THOMAS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 LOWER MAIN STREET, SOUTH AMBOY, NJ 08879-0785
(732) 727-2555
(732) 727-0255
Mailing address
1 LOWER MAIN STREET, SOUTH AMBOY, NJ 08879-0785
(732) 727-2555
(732) 727-0255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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