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Individual
NICOLE JANE THOMPSON
Active
Individual
NICOLE JANE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC,LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
076873
NY
1041C0700X
Clinical Social Worker
114912
MA
1041C0700X
Clinical Social Worker
53948
TX
1041C0700X
Clinical Social Worker
C013102
NC
1041C0700X
Clinical Social Worker
SW11908
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5018004
NC
Other
Enumeration date
06/13/2008
Last updated
01/07/2025
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