Individual
MS. BRENDA JOYCE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
26 COURT ST STE 1210, BROOKLYN, NY 11242-1112
(347) 262-0512
Mailing address
144-46 167 ST., JAMAICA, NY 11434-4826
(347) 262-0512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO23662-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02649967
—
NY
01
—
19779P
HIP
NY
01
—
P3591322
OXFORD
NY
Enumeration date
09/05/2006
Last updated
07/08/2007
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