Individual
BRIENNA LYN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1703 COUNTRY CLUB RD STE 204, JACKSONVILLE, NC 28546-6098
(619) 368-1774
Mailing address
147 WESTE AVE, JACKSONVILLE, NC 28540-5805
(619) 368-1774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C015870
NC
Other
Enumeration date
10/05/2010
Last updated
10/17/2023
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