Individual
TIFFANY MONITA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, DSW
Contact information
Practice address
5240 YATES COONEY NECK RD, BLOOMFIELD, KY 40008-7316
(502) 767-3202
Mailing address
5240 YATES COONEY NECK RD, BLOOMFIELD, KY 40008-7316
(502) 767-3202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256251
KY
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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