Individual
MS. DEIDRE SHEREE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
15601 NORTHLINE RD, SOUTHGATE, MI 48195-2334
(734) 785-7705
Mailing address
15601 NORTHLINE RD, SOUTHGATE, MI 48195-2334
(734) 785-7705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801088812
MI
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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