Individual
DALE TODD-THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11500 BUCKINGHAM RD, AUSTIN, TX 78759-4402
(512) 331-8921
Mailing address
11500 BUCKINGHAM RD, AUSTIN, TX 78759-4402
(512) 331-8921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05840
TX
Other
Enumeration date
01/31/2010
Last updated
01/31/2010
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