MS. Jacqueline Christine Thomas

NPI #1063854396 in Champaign, Illinois

Provider Information

NPI Number: 1063854396
Entity Type: Individual
Name: MS. Jacqueline Christine Thomas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jul 29, 2013
Last Updated: Jul 29, 2013

Practice Location

Address: 202 W PARK AVE
City: Champaign
State: Illinois
ZIP Code: 61820-3929
Phone: (217) 373-2430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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