Individual
ADAM THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
151 S UNIVERSITY AVE, PROVO, UT 84601-4427
(801) 851-7127
Mailing address
151 S UNIVERSITY AVE, PROVO, UT 84601-4427
(801) 851-7127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7980142-3501
UT
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
03/02/2012
Last updated
06/09/2016
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