Individual
DANNATA MARDELL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36000 DARNALL LOOP, CREDENTIALS OFFICE, FORT HOOD, TX 76544-5095
(254) 286-7323
(254) 286-7188
Mailing address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25001
TX
Other
Enumeration date
05/12/2010
Last updated
08/29/2024
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