Individual
ALEXANDRA PATRICE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2068 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 830-5730
Mailing address
409 W WINTER DR, BOISE, ID 83706-4857
(208) 830-5730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
39123
ID
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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