Most Relevant Information
Provider Data
| NPI Number: | 1003180720 |
| Provider Name: | GARY LYNN THOMAS LMSW,ACSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801091528 |
Most Important Dates
| Enumeration Date: | 02/27/2012 |
| Last Updated: | 03/09/2016 |
Provider Practice Location
1042 N MILFORD RD
SUITE 205
MILFORD
MI
483815107
Practice Location Phone/Fax
| Phone: | 2848259545 |
| Fax: |
Provider Mailing Location
653 WOODSIDE DR
MILFORD
MI
483811691
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |