Most Relevant Information
Provider Data
| NPI Number: | 1003439837 |
| Provider Name: | LADAWNA ELYNNE THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2020000315 |
Most Important Dates
| Enumeration Date: | 05/27/2020 |
| Last Updated: | 05/27/2020 |
Provider Practice Location
3482 HOLLENBERG DR
BRIDGETON
MO
630442429
Practice Location Phone/Fax
| Phone: | 3146141385 |
| Fax: |
Provider Mailing Location
1749 GRAPE AVE
SAINT LOUIS
MO
631471434
Provider Mailing Phone/Fax
| Phone: | 3146141385 |
| Fax: |