Provider Information for 1386846202
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Mrs. JANA MARIE CARROLL-THOMAS MSW, LISW-S
Sex: Female
NPI: 1386846202
Last Updated: 2024-10-14
Certification Date: 2024-10-14
Certification Date: 2024-10-14
Details
| Name | Value | ||||||||||||
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| NPI | 1386846202 | ||||||||||||
| Enumeration Date | 2007-06-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 705 OVERLOOK DR ALLIANCE, OH 44601-3779 United States Phone: 810-223-7293 | Fax: | ||||||||||||
| Primary Practice Address | 705 OVERLOOK DR ALLIANCE, OH 44601-3779 United States Phone: 810-223-7293 | Fax: | ||||||||||||
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