Jacqueline Christine Thomas

NPI 1063854396 - Social Worker - 104100000X

NPI Details
NPI 1063854396
Gender Female
Enumeration Date 07/29/2013
Last Updated 07/29/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
202 W PARK AVE
CHAMPAIGN IL, 61820-3929, US
Phone (217) 373-2430
Fax
Business Location
706 W HEALEY ST
CHAMPAIGN IL, 61820-5027, US
Phone (217) 390-1042
Fax
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Ms. Jacqueline Christine Thomas NPI is 1063854396, taxonomy code is 104100000X Jacqueline Christine Thomas physically located at 202 W Park Ave, Champaign IL, 61820-3929. NPI Number Jacqueline Christine Thomas has the Individual type.

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1063854396 NPI number is provided on an as is basis without warranty of any kind. 1063854396 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Christine Thomas are for informational purposes only.