Individual
MRS. KIM R THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
604 N ACADIA RD, SUITE 201, THIBODAUX, LA 70301-4897
(985) 493-9304
(985) 493-9305
Mailing address
604 N ACADIA RD, SUITE 201, THIBODAUX, LA 70301-4897
(985) 493-9304
(985) 493-9305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9368
LA
Other
Enumeration date
07/08/2010
Last updated
04/16/2013
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