Provider Information for 1932473774
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SASHA M. THOMSON LMSW
Sex: Female
NPI: 1932473774
Last Updated: 2018-12-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1932473774 | ||||||||||||
| Enumeration Date | 2012-02-24 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 95000 PHILADELPHIA, PA 19195-4655 United States Phone: 800-444-6020 | Fax:845-256-1881 | ||||||||||||
| Primary Practice Address | 2590 FRISBY AVE BRONX, NY 10461-3240 United States Phone: 718-239-1610 | Fax:718-583-3360 | ||||||||||||
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