Lacole Thomas

NPI #1619655859 in Conyers, Georgia

Provider Information

NPI Number: 1619655859
Entity Type: Individual
Name: Lacole Thomas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 7, 2023
Last Updated: Jul 7, 2023

Practice Location

Address: 1045 LAUREL CT NW # B
City: Conyers
State: Georgia
ZIP Code: 30012-4206
Phone: (678) 523-6537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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