Kalisa Michelle Thomas

NPI 1184831596 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1184831596
Gender Female
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
104 PLUMERIA ST
CANTON GA, 30114-1260, US
Phone (678) 493-2984
Fax
Business Location
104 PLUMERIA ST
CANTON GA, 30114-1260, US
Phone
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Florida
License Number IMT563
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According to our database, Mrs. Kalisa Michelle Thomas NPI is 1184831596, taxonomy code is 106H00000X and license number is IMT563, license state is located at Florida. Kalisa Michelle Thomas physically located at 104 Plumeria St, Canton GA, 30114-1260. NPI Number Kalisa Michelle Thomas has the Individual type.

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1184831596 NPI number is provided on an as is basis without warranty of any kind. 1184831596 is maintained by the National Plan & Provider Enumeration System. The contents of Kalisa Michelle Thomas are for informational purposes only.