Individual
DR. BRUCE J THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, PHD
Contact information
Practice address
33 CHESTNUT ST, PROVIDENCE, RI 02903-4112
(401) 274-5551
Mailing address
126 CHACE AVE, TIVERTON, RI 02878-1053
(401) 624-1953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00105
RI
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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