Individual
NOLAN M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
755 ROOSEVELT TRL # 3B, WINDHAM, ME 04062-5341
(207) 415-9326
(207) 899-4951
Mailing address
2 VILLA RD, WESTBROOK, ME 04092-3628
(207) 415-9326
(207) 899-4951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3625
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219870000
—
ME
Enumeration date
07/10/2007
Last updated
03/19/2010
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