Individual
MR. ROBERT EDGAR THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3044 BRECKENRIDGE LN, SUITE 204, LOUISVILLE, KY 40220-2192
(502) 493-8002
Mailing address
3044 BRECKENRIDGE LN, SUITE 204, LOUISVILLE, KY 40220-2192
(502) 493-8002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
773
KY
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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