Individual
LAURA L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
962 VAN BUREN AVE, OAK GROVE, KY 42262-8277
(360) 620-0061
Mailing address
962 VAN BUREN AVE, OAK GROVE, KY 42262-8277
(360) 620-0061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWI.LW.61370998
WA
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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