Individual
MS. PHYLLIS LYNN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2334 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3000
(615) 364-6829
Mailing address
2334 N. MT. JULIET RD, MOUNT JULIET, TN 37122
(615) 364-6829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4122
TN
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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