Individual
DEXTER THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 BRECKENRIDGE LN, LOUISVILLE, KY 40218-4135
(502) 472-4232
Mailing address
4400 BRECKENRIDGE LN, LOUISVILLE, KY 40218-4135
(502) 472-4232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100346860
—
KY
Enumeration date
09/09/2015
Last updated
09/09/2015
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