Individual
JEAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2988
Mailing address
12 FERN CIR, TRUMBULL, CT 06611-4910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004698
CT
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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