Provider Information for 1093990509
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Mrs. STEPHANIE K. THOMAS LPC-S
Sex: Female
Certification Date: 2024-07-01
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1093990509 | ||||||||||||
| Enumeration Date | 2008-01-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 23051 KINGWOOD PLACE DR STE 110 KINGWOOD, TX 77339-3962 United States Phone: 844-824-8775 | Fax: | ||||||||||||
| Primary Practice Address | 23051 KINGWOOD PLACE DR STE 110 KINGWOOD, TX 77339-3962 United States Phone: 844-824-8775 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 3000 POLAR LN STE 101 11300 N CENTRAL EXPY STE 400 303 N CARROLL BLVD STE 114 5300 DEMOCRACY DR STE 110 1425 GREENWAY DR STE 360 | ||||||||||||
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