| Doctor Name: | MR. GARY LYNN THOMAS |
| NPI Number: | 1003180720 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW,ACSW |
| License Number: | 6801091528 |
| Business Practice Address: | 1042 N Milford Rd Suite 205 Milford, MI - 483815107 |
| Business Phone Number: | 2848259545 |
| Business Fax Number: | |
| Mailing Address: | 653 Woodside Dr, MILFORD |
| State: | MI |
| Postal Code: | 483811691 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2012 |
| NPI Last Update Date: | 03/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801091528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |