Individual
CARMEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17706 STATE LINE AVE, LANSING, IL 60438-2011
(708) 558-6474
Mailing address
17706 STATE LINE AVE, LANSING, IL 60438-2011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.014835
IL
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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