Individual
MRS. CHEYENNE MARY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1315 S ALLEN ST STE 303, STATE COLLEGE, PA 16801-5946
(814) 419-5463
Mailing address
396 FOUNTAIN RD, SNOW SHOE, PA 16874-8809
(814) 571-6165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139323
PA
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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