Jeph Thomas
Social Worker, Clinical in Brooklyn, NY. Individual provider (NPI-1).
NPI number1639967904
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1639967904
- Entity type
- Individual (NPI-1)
- Name
- Jeph Thomas
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 28, 2025
- Certification date
- Apr 28, 2025
- Last updated
- Apr 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1574 E 98th StBrooklyn, NY 11236-5514
Phone 561-388-2905
Mailing address
1574 E 98th StBrooklyn, NY 11236-5514
Phone 561-388-2905
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