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Provider Information for 1568727261


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DEBRA L THOMAS LMHC


Sex: Female

NPI: 1568727261
Last Updated: 2012-07-09
Certification Date:

Details

NameValue
NPI1568727261
Enumeration Date2012-07-09
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1700 S FLAMINGO RD
DAVIE, FL 33325-5852
United States

Phone: 954-536-2426 | Fax:
 
Primary Practice Address 1700 S FLAMINGO RD
DAVIE, FL 33325-5852
United States

Phone: 954-536-2426 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH9595