Individual
VICTORIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N ALLUMBAUGH ST, BOISE, ID 83704-9208
(208) 376-3546
Mailing address
8535 W ATWATER DR, GARDEN CITY, ID 83714-1802
(541) 231-1192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-35688
ID
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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