MATHEW THOMAS

TISHOMINGO, OK
NPI1114321478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2014-10-15
Last Update Date2014-10-15
Business Address
MATHEW THOMAS
801 E MAIN ST
TISHOMINGO, OK 73460-2351
Phone number: 571-331-7374
Mailing Address
MATHEW THOMAS
3722 HERITAGE PARK DR
SACHSE, TX 75048-4741
Phone number: 571-331-7374
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