Individual
MARISSA LYNN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
253 HAMMOND ST, BANGOR, ME 04401-4610
(207) 941-1612
(207) 941-1634
Mailing address
253 HAMMOND ST, BANGOR, ME 04401-4610
(207) 941-1612
(207) 941-1634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC22661
ME
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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