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Individual
MELISSA M THOMPSON
Active
Individual
MELISSA M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWR
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P065165-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033150
BEACON HEALTH STRAT
—
01
—
2190753
CIGNA BEH HEALTH
—
01
—
390969
MVP
NY
01
—
7095706
AETNA
—
01
—
796691000
MAGELLAN
—
Enumeration date
08/16/2006
Last updated
12/03/2016
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