Most Relevant Information
Provider Data
  | NPI Number: | 1003550229 | 
| Provider Name: | LASHAWNA THOMAS | 
| Entity Type: | Individual | 
| Taxonomy Code: | 101YA0400X | 
| Specialty: | Counselor | 
| License Number: | 19554-130 | 
Most Important Dates
  | Enumeration Date: | 04/25/2022 | 
| Last Updated: | 04/25/2022 | 
Provider Practice Location
  2814 S 108TH ST
      
      WEST ALLIS
      WI
      532273224
  Practice Location Phone/Fax
      | Phone: | 4148853525 | 
| Fax: | 2626434617 | 
Provider Mailing Location
  2814 S 108TH ST
      
      WEST ALLIS
      WI
      532273224
  Provider Mailing Phone/Fax
      | Phone: | 4148853525 | 
| Fax: | 2626434617 |