Individual
LESLIE S THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
54 SEARGENT S PRENTISS DRIVE, NATCHEZ, MS 39120
(601) 443-2100
(601) 443-2885
Mailing address
5 CARRIAGE LN, NATCHEZ, MS 39120-9318
(601) 304-0267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6349
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06303007
—
MS
Enumeration date
06/15/2007
Last updated
07/08/2007
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