Individual
CHAD RUSSELL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7550 43RD ST N, PINELLAS PARK, FL 33781-3601
(727) 824-8181
Mailing address
10806 CAPSTAN LAKE DR, RIVERVIEW, FL 33579-7094
(813) 422-4336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18165
FL
Other
Enumeration date
02/20/2014
Last updated
06/14/2023
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