Individual
MRS. MARJORE IRENE THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
(612) 627-4205
Mailing address
1074 CEDAR VIEW DR, MINNEAPOLIS, MN 55405-2129
(612) 381-0106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07188
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008615
PREFERRED ONE
MN
01
—
107922
UCARE
MN
01
—
107922-0001
UCARE PCP
MN
01
—
4T865TH
BHSI
MN
01
—
61-15833
MEDICA (ST.,CHOICE)
MN
01
—
62-15833
UBH
MN
01
—
837697
AMERICAS PPO
MN
01
—
HP11602
HEALTH PARTNERS
MN
Enumeration date
01/23/2006
Last updated
07/08/2007
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