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1295410470
SAMUEL ELVIN THOMAS
CHARLESTON, WV
NPI
1295410470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-16
Last Update Date
2023-06-16
Business Address
SAMUEL ELVIN THOMAS
2157 GREENBRIER ST
CHARLESTON, WV 25311-9623
Phone number: 304-344-5924
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Mailing Address
SAMUEL ELVIN THOMAS
2157 GREENBRIER ST
CHARLESTON, WV 25311-9623
Phone number: 304-344-5924
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