Individual
JULIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2306 STANLEY AVE SE, ROANOKE, VA 24014-2461
(386) 466-5656
Mailing address
761 SE DEFENDER DR, LAKE CITY, FL 32025-6367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/29/2008
Last updated
05/10/2022
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