Individual
SEMONE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10159 E 11TH ST STE 100, TULSA, OK 74128-3046
(918) 519-1309
Mailing address
PO BOX 153, JENKS, OK 74037-0153
(918) 519-1309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4540-P
OK
1041C0700X
Clinical Social Worker
Primary
4540-P
OK
Other
Enumeration date
12/02/2013
Last updated
03/04/2014
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