Crystal Thomas, Llmsw

NPI 1154737872 - Social Worker - 1041C0700X

NPI Details
NPI 1154737872
Enumeration Date 07/02/2014
Last Updated 07/02/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CRYSTAL CRYSTAL
Position OWNER
Phone (231) 735-0144
Fax (231) 947-2444
Practice Location
821 S ELMWOOD AVE
SUITE C
TRAVERSE CITY MI, 49684-2191, US
Phone (231) 735-0144
Fax (231) 947-2444
Business Location
821 S ELMWOOD AVE
SUITE C
TRAVERSE CITY MI, 49684-2191, US
Phone (231) 735-0144
Fax (231) 947-2444
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801093486
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According to our database, Crystal Thomas, Llmsw NPI is 1154737872, taxonomy code is 1041C0700X and license number is 6801093486, license state is located at Michigan. Crystal Thomas, Llmsw physically located at 821 S Elmwood Ave, Traverse City MI, 49684-2191. NPI Number 1033115704 has the healthcare provider type.

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1154737872 NPI number is provided on an as is basis without warranty of any kind. 1154737872 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Thomas, Llmsw are for informational purposes only.