Individual
MARIA ANN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 12825
Contact information
Practice address
114 MORGAN ST, RAYVILLE, LA 71269-2576
(318) 398-0945
Mailing address
2211 REDWOOD DR, MONROE, LA 71201-3631
(318) 372-2872
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12825
LA
1041C0700X
Clinical Social Worker
12825
LA
Other
Enumeration date
01/04/2018
Last updated
11/04/2019
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