Individual
REBECCA LEE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1708 WASHINGTON AVE, PORTLAND, ME 04103-1622
(207) 272-9114
Mailing address
1708 WASHINGTON AVE, PORTLAND, ME 04103-1622
(207) 272-9114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5685
ME
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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