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Organization

THOMPSON CLINICAL PRACTICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDA KAYE DANIEL LCSW (OWNER/MANAGER)
(859) 963-9010
Entity
Organization

Contact information

Practice address
2716 OLD ROSEBUD RD, SUITE 210, LEXINGTON, KY 40509-8008
(859) 963-9010
(859) 963-9055
Mailing address
2716 OLD ROSEBUD RD, SUITE 210, LEXINGTON, KY 40509-8008
(859) 963-9010
(859) 963-9055

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1670
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376698811
NPI 1-INDIVIDUAL
KY
Enumeration date
11/24/2010
Last updated
09/09/2013
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