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Individual

MRS. ERICA FELISA THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, MSW, MBA

Contact information

Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(726) 228-0296
Mailing address
7218 MISTY RIDGE DR, CONVERSE, TX 78109-2709
(210) 992-9367

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62345
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14949119
CAQH
01
62345
CLKINICAL SOCIAL WORK LICENSE
TX
Enumeration date
01/12/2016
Last updated
09/20/2024
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