Provider Information for 1790271583
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DAVID TODD THOMAS MA, LLPC, NCC
Sex: Male
NPI: 1790271583
Last Updated: 2018-07-05
Certification Date:
Certification Date:
Details
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NPI | 1790271583 | ||||||||
Enumeration Date | 2018-07-05 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 2985 TAHOE AVE KALAMAZOO, MI 49004-2144 United States Phone: 269-806-2862 | Fax: | ||||||||
Primary Practice Address | 1000 W PATERSON ST KALAMAZOO, MI 49007-1710 United States Phone: 269-389-9951 | Fax: | ||||||||
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