Individual
MRS. DANNICA ISABELLE THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 115171
Contact information
Practice address
2707 TRANSWORLD DR, STOCKTON, CA 95206-3948
(209) 464-4847
Mailing address
2707 TRANSWORLD DR, STOCKTON, CA 95206-3948
(209) 923-3184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
115171
CA
Other
Enumeration date
01/14/2019
Last updated
03/14/2024
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