Taneisha Thomas

NPI #1245621309 in Fort Pierce, Florida

Provider Information

NPI Number: 1245621309
Entity Type: Individual
Name: Taneisha Thomas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Feb 11, 2015
Last Updated: Feb 11, 2015

Practice Location

Address: 2814 S US HIGHWAY 1
Address 2: SUITE D4
City: Fort Pierce
State: Florida
ZIP Code: 34982-8120
Phone: (772) 489-4726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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