Individual
EMILY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(207) 294-4657
Mailing address
PO BOX 11087, PORTLAND, ME 04104-7087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC11660
ME
104100000X
Social Worker
MC10599
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432243099
—
ME
Enumeration date
09/15/2006
Last updated
09/21/2018
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