Provider Information for 1124097753
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LINDA A. THOMAS L.I.S.W.
Sex: Female
NPI: 1124097753
Last Updated: 2011-06-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1124097753 | ||||||||
| Enumeration Date | 2006-03-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 751461 CHARLOTTE, NC 28275-1461 United States Phone: 843-792-6200 | Fax: | ||||||||
| Primary Practice Address | 171 ASHLEY AVE CHARLESTON, SC 29425-0100 United States Phone: 843-792-1414 | Fax: | ||||||||
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