Most Relevant Information
Provider Data
| NPI Number: | 1003465568 |
| Provider Name: | SHANNON D THOMAS LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 24314 |
Most Important Dates
| Enumeration Date: | 09/08/2019 |
| Last Updated: | 09/08/2019 |
Provider Practice Location
514 POPLAR ST
CAMBRIDGE
MD
216131834
Practice Location Phone/Fax
| Phone: | 8008672395 |
| Fax: |
Provider Mailing Location
402 WOODVIEW SQ APT H
SALISBURY
MD
218042904
Provider Mailing Phone/Fax
| Phone: | 4104225633 |
| Fax: |