Individual
MR. ERIC ANTONIO THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
477 CONGRESS ST STE 408, PORTLAND, ME 04101-3431
(207) 773-7811
(207) 773-0663
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC13079
ME
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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