Individual
BREAHNNA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
458 GRAND AVE, NEW HAVEN, CT 06513-3856
(203) 752-1212
Mailing address
PO BOX 805, DERBY, CT 06418-0805
(914) 979-2397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5177
CT
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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