Individual
MR. THOMAS LEE THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LGSW
Contact information
Practice address
800 20TH ST, HUNTINGTON, WV 25703-1850
(304) 696-8700
Mailing address
1604 HIGHLAND PARK, BARBOURSVILLE, WV 25504-1542
(740) 395-1510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
DP00944886
WV
Other
Enumeration date
11/28/2016
Last updated
09/10/2020
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