Individual
CHARLES MELVIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12567 W CEDAR DR, LAKEWOOD, CO 80228-2009
(719) 469-3169
Mailing address
12567 W CEDAR DR, LAKEWOOD, CO 80228-2009
(719) 469-3169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
876521
CO
104100000X
Social Worker
CSW876521
CO
1041C0700X
Clinical Social Worker
Primary
876521
CO
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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