Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | S.0026442 | OH |
NPI | 1003269416 |
---|---|
Provider Name | Barbara Thomas |
First Address | Charlotte, TN 37036-5641 |
Second Address | Franklin, TN 37064-3786 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2016 |
Last Update Date | 20/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0 | NA (01) | TN |