Lily B.thomas | |
412 E King St Malvern PA 19355-3004 | |
(484) 574-0937 | |
Not Available |
Full Name | Lily B.thomas |
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Speciality | Social Worker - Clinical |
Location | 412 E King St, Malvern, Pennsylvania |
Authorized Official Name and Position | Lily B Thomas (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 4845740937 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lily B.thomas 412 E King St Malvern PA 19355-3004 Ph: (484) 574-0937 | Lily B.thomas 412 E King St Malvern PA 19355-3004 Ph: (484) 574-0937 |
NPI Number | 1770814071 |
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Provider Enumeration Date | 01/26/2010 |
Last Update Date | 01/26/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770814071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW016480 (Pennsylvania) | Primary |
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