Individual
KRISTIN LEE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1428 W HEBRON PKWY, STE 135, CARROLLTON, TX 75010-6345
(512) 468-9619
Mailing address
9220 KAITLYN CT, LANTANA, TX 76226-1370
(512) 468-9619
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
51863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51863
TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS
TX
Enumeration date
10/01/2008
Last updated
06/30/2016
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